complaint·October 14, 2025

At approximately 09:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this faciity unannounced to conduct an investigation into the above allegation. LPA met with Licensee Josephine Mendoza, toured the building, interviewed staff and reviewed records. LPA received copies of documents. Based on interviews conducted and records reviewed, LPA was not able to find evidence as to where or how the injury occurred. Resident, R1, was receiving Hospice services and a Hospice Aid was assisting R1 on 08/29/2025. Staff noticed R1's shirt sleeve was tight on 08/31/2025 and assisted R1 with changing the shirt. During this interaction, staff observed bruising and swelling on the arm. Based on interviews conducted, there were no prior signs of injury or pain. Staff notified the Licensee upon discovery. Hospice was contacted early, on 09/01/2025, and the duty nurse was spoken to. Hospice personnel arrived at approximately 3:45PM and assessed R1 on 09/01/2025 and ordered a mobile xray. The xray occurred on 09/09/2025, discovering a fracture. Licensee notified CCLD on 09/10/2025 of the incident. R1 did sustain an unexplained injury while in care, however, there is no indication how it occurred. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.