Complaint·February 17, 2022

The allegation alleges Staff #1 (S1) grabbed R1’s left arm and wrist and pulled R1 away from a counter causing the resident to fall and sustain a skin tear. The interview with the Administrator revealed she started to have concerns when residents in the home were having unexplained bruising. Although they had cameras in the home, the footage was only a live feed and was not being stored. The Administrator stated she decided to install a memory card so she could store the video footage. When another staff observed an injury to R1’s arm, the Administrator reviewed the video footage which showed S1 grabbing the resident aggressively from the kitchen counter for no reason; causing the resident to fall to the ground and sustain a skin tear to their arm. The Administrator stated they terminated S1 immediately and called law enforcement. The LPA reviewed the video footage provided which revealed on 11/03/2020 at 21:53, R1 was observed to be alone standing at the kitchen counter moving around what appears to be a plastic bag. S1 entered the kitchen and grabbed R1 by both arms, forcefully moving the resident away from the counter causing the resident to fall. During today's inspection the LPA spoke with the Administrator on the telephone and she said the criminal case is still pending with S1. Based on the information obtained, there is sufficient evidence to support the allegation occurred. Therefore, the allegation is substantiated at this time. Pursuant to Title 22 CA Code of Regulations, the following deficiency was cited and civil penalty was assessed (refer to LIC 9099-D). Exit interview conducted and report and civil penalty assessment was reviewed with the Administrator over the telephone. The Administrator gave permission for the caregiver to sign the report. A copy of the report will be emailed. During today's inspection, the LPA conducted a physical plant tour of the facility and did not observed any immediate health or safety concerns.