complaint·March 11, 2022

the evidence obtained during the Department's investigation, the allegation of resident had multiple falls while in care is unsubstantiated at this time. The second allegation alleges that R1 sustained injuries while in care. During the course of the investigation, Department staff obtained evidence that indicates R1 had multiple falls while at the facility. Medical records show that R1 sustained bruises to his head and face. However, there is no evidence that shows R1's injuries contributed to resident's death. Hospice Records including the Death certificate indicate that R1 expired due to natural causes and there is nothing documented as a contributing factor to R1's death. There is insufficient evidence to show that R1 sustained serious injuries as a result of neglect/lack of supervision. Although the allegations resident had multiple falls while in care (allegation #1) and resident sustained injuries while in care (allegation #2) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated at this time. No deficiencies were cited. An exit interview was conducted where this report (LIC9099) was discussed and provided to Business Services Director Priscilla Mancilla .