Complaint·September 18, 2024

Page 2 of 2. On 10/21/2022, the Department interviewed Paramedic 1 (P1) who responded on the 911 call made on 10/18/2022. Paramedic 1 stated he/she assessed resident (R1) and the bumps and scratches on R1's head did not indicate R1 had a fall. P1 stated R1 has neurocognitive impairment and R1 was not aware of current surroundings or recall the facility's name. On 9/18/2024, LPAs interviewed 3 staff (S1-S3) that were working with resident R1 during the time of the complaint. Three of of three staff stated they do not remember the incident on 10/18/2022. Two of the three staff stated R1 would have seizure-like behaviors where R1 would injury themselves during an episode and would be unbalanced when walking with walker around the facility. Two of the three staff stated they are not aware of any other residents or staff that would try to physically hurt R1. Three out of three staff stated they are not sure if the facility was under staffed at the time and they are not sure if the lack of supervision would cause resident to be injured. Three of the three staff stated all residents were checked every hour or every other hour for safety checks and the facility staff do not provide 1:1 care to R1 in October 2022. Based on review of R1's Physician's Report dated 3/15/2022, R1 had neurocognitive impairment wherein R1 was confused and disoriented and needed assistance with some Activities of Daily Living (ADLs). Based on the interviews conducted with clients and staff and based on observation and records review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the above allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED. No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Administrator and a copy of the report was provided.