Complaint·March 3, 2025

R1 did not report R1's burn wound to facility staff until days later. Second allegation: Staff did not seek medical attention for the resident in a timely manner. The investigation was conducted by Department staff which consisted of file review and interviews with relevant parties. During the investigation, Department staff was not able to obtain evidence to corroborate the allegation. Department staff indicated that R1 denied neglect and R1 stated that R1 did not request earlier medical attention as R1 informed department staff that R1 did not say anything about the incident to the staffs at the facility. Department staff interviews with staffs revealed that R1 likes to complete several of R1's Activities of Daily Living (ADLs) without staff assistance. To add to that, interviews with staffs indicated that R1 has a coffee pot in R1's room and R1 prefers to make coffee without staff assistance and when R1 decided to disclose R1's burn wound, they were more concerned with getting R1 immediate medical care than asking R1 why R1 did not report R1's burn injury sooner. Therefore, based on the evidence obtained during the Department's investigation, there is insufficient evidence to prove that staff neglect resulted in Resident #1 (R1) sustaining a severe burn (Allegation #1), and staff did not seek medical attention for the resident in a timely manner (Allegation #2) are UNSUBSTANTIATED at this time. Although the allegation of staff neglect resulted in Resident #1 (R1) sustaining a severe burn (Allegation #1), and staff did not seek medical attention for the resident in a timely manner (Allegation #2) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED at this time. An exit interview was conducted where this report (LIC9099), was discussed and provided to Office Manager Maria Cervantes.