complaint·August 15, 2023

On 03/14/2023, LPA Steve Chang interviewed staff (S1). S1 stated dinning is separated based on two groups. S1 stated group 1 are residents who can eat by themselves while group 2 are residents that may require staff to supervise or assist residents. S1 stated R1 was in group 2. S1 stated on 02/25/2023, R1 attempted to enter the dining area but group 1 was still dining. S1 stated he/she attempted to redirect R1 to sit down but somehow R1 was on the floor. S1 stated he/she was unsure if R1 just sat down or slid down on the floor. LPA Chang interviewed staff (S2 & S3). S2 stated, regarding the alleged tackling, he/she did not see S1 push R1. S2 & S3 stated paramedics came to the facility, assessed R1 and deemed him/her stable and was not sent to the hospital. S2 stated R1 was in Group 2, but sometimes R1 did not want to wait at the activity room to wait for Group 1 residents to finish. LPA Chang interviewed resident (R1). LPA asked R1 if anyone pushed or hit R1 recently. R1 stated no. LPA asked R1 if he/she fell recently. R1 answered no. LPA Chang interviewed Senior Executive Director (ED) Radhika Martinez. ED stated memory care unit residents have 2 groups for the dining room. ED stated Group 1 will finish meals first, and Group 2 members wait for outside first at the activity room. ED stated R1 was never prohibited from entering the dining room. ED stated the dining room cannot hold all the member care unit residents at same time, because some residents do not want to sit with other residents. ED stated the police came to the facility on 02/25/2023 because if a resident hit there head it company police to request paramedics. On 8/15/2023, LPA Manuel Monter interviewed Staff S1, S2, S3, S4, and ED. S1-S4 and ED stated R1 was never dragged by the staff on 2/19/2023. S1-S4 and ED stated this did not happen. Based on a review of Belmont Village Variance report dated 02/25/2023, paramedics assessed R1 and deemed R1 stable. R1 was not taken to the hospital. Page 2 out of 3 Based on additional information, staff (S5) was interviewed by law enforcement regarding the incident that occurred on 02/25/2023. S5 stated he/she heard R1 screaming and walking towards the open cafeteria door. S5 stated he/she saw S1 running towards the door, towards R1’s location. S5 stated he/she saw S1 lean forward and noted R1 fell. S5 stated he/she did not see S1 put hands on R1 but believed that S1 pushed R1. Based on the interviews conducted with clients and staff 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, Exit interview conducted with Executive Director Radhika Martinez and a copy of the report was provided. Page 3 out of 3, End of Report..