Complaint·June 22, 2022

On this day at 1300hrs, Licensing Program Analyst (LPA) Jaime Vado and Kevin Varilla conducted an unannounced complaint investigation visit to deliver findings regarding the received allegation. LPA met with administrator Ana and explained purpose of today's visit. During the course of the investigation it was found that there were consistent checks on R1 through the night. During those night checks the resident was observed in bed with legs out of bed or sitting on the bed. There was no report of pain or of a fall to the caregivers by R1 during those night checks. Staff even assisted the resident to lay back down in bed or to move her legs back into bed and R1 still did not indicate any pain or report a fall. The following morning R1 reported the pain to facility staff and was sent to the hospital via 911 for evaluation where she was found to have a leg fracture. There was not enough evidence to show a lack of supervision or neglect by staff or the facility. This allegation is unsubstantiated. Based on these observations, the above allegations are UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time. No citations issued. Report reviewed with Ana.