complaint·May 31, 2024

(Continued from LIC9099 p.1) No staff interviewed had observed or been told that any resident was being forced to do something outside of their will. Staff interviews further revealed staff's awareness of residents' rights to have consensual intimate relations, per Title 22, Section 87468.1(b)(7)(A). Staff informed that R1 and R5 sometimes walk around the facility holding hands, and R3 and R6 had a close friendship that R6's family approved of. Outside source interviews corroborated staff statements regarding R3 and R6's relationship, stating they were happy about it and had no concerns. Resident interviews did not corroborate the allegation. No records were found to corroborate the allegation or that either alleged event occurred. Regarding the allegation, "Neglect/lack of supervision resulting in felony drug use", it was alleged that the Licensee allowed Resident 3 (R3) to bring illegal drugs into the facility. Staff interviews revealed that a substance was found among R3's possessions prior to moving into the facility, but it was discarded and not tested to confirm what the substance was. Staff members interviewed consistently denied that any resident had used illegal drugs at the facility, including R3. Resident interviews revealed that no resident had knowledge of any illegal drug use at the facility, including R3, who denied ever using drugs at Heritage Hills. Outside source interviews did not corroborate this allegation. No records were found to support that this alleged event occurred. Regarding the allegation, "Licensee retained residents who were incompatible with other residents in care", it was alleged that the Licensee had admitted homeless persons and drug addicted persons into the facility who did not have memory care issues. Records were reviewed regarding the residents in question- Resident 1 (R1), Resident 2 (R2), Resident 3 (R3), and Resident 4 (R4). The records revealed that the residents in question had the following assessments and/or appraisals prior to being admitted into the facility: Physician's Report (LIC602), Pre-admission Assessment, Needs & Services plan. R1 and R3’s files contained an additional Resident Appraisal, while R2 and R3’s files contained an additional Mini Mental exam confirming cognitive impairments. The records found were consistent with pre-admission records for all other residents prior to being accepted to live in the facility. The LIC602 forms revealed that R1, R2, R3, and R4 were all diagnosed with memory issues and/or Dementia, which was consistent with the population that the facility serves as a memory care facility. (Continued on LIC9099-c p.3) (Continued from LIC9099-C p.2) Staff interviews confirmed that R1, R2, R3, and R4 were assessed prior to living at the facility, upon moving in, and ongoing as their conditions changed, as any other resident in the facility would be. Staff members interviewed consistently affirmed that the residents in question were compatible for the facility based on their cognitive needs, care needs, and behavior levels. No staff interviewed informed that any of the residents in question were not an appropriate fit to live at the facility. Outside source interviews did not corroborate the allegation. Based on interviews, direct LPA observations and records review, the investigation did not yield a preponderance of evidence to conclude that the allegations of neglect/lack of supervision resulting in sexual abuse, neglect/lack of supervision resulting in felony drug use, and Licensee retained residents who were incompatible with other residents in care occurred. Based on the foregoing, the allegations are unsubstantiated. An exit interview was conducted with Amanda Togia, Business Office Director, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.