Complaint·January 17, 2024

During visit on 01/17/2024, LPA Dolores was provided SOC341s that were completed on 11/27/2023, 12/06/2023, 12/06/2023, and 12/12/2023. The review of records showed that on 12/02/2023, the facility’s directors were emailed concerns from R1’s responsible party alleging suspected rough handling from staff (S1) to resident (R1) to include unexplained bruises on R1’s arms. Based on interview with staff, the facility did not inform the local law enforcement within 24 hours. The Department also did not receive a report regarding the suspected abuse within the 24 hour reporting requirement. Based on record review, the Department received one SOC341 on 12/07/2023 regarding a visit from the local law enforcement on 12/05/2023. Based on the report, the reason for the visit was to ensure a safety plan was created and followed through to limit the interactions with R1 and a care staff member who R1 did not feel comfortable receiving care from. During visit on 01/17/2024, LPA was provided another SOC341 completed on 12/06/2023, which the Department did not receive. This report alleged that R1 was handled rough by a staff (S1) on 12/01/2023. Based on interview, 1 out of 2 of the SOC341s that was completed on 12/06/2023 was not sent to the Licensing Department because it was a draft. It was stated that the contents of both reports were the same as the report the Department received. Based on observation, the details of both the SOC341s completed on 12/06/2023 contained different contents and information. The Department has investigated the above allegation. Based on interview, record review, and observation the preponderance of evidence standard has been met, therefore, the above allegation is SUBSTANTIATED. A deficiency is being cited per California Code of Regulations, Title 22. See LIC9099-D. This report was reviewed with Executive Director, Paula Spanek and a copy of the report and appeal rights were provided.