Incident investigation·January 29, 2025

Licensing Program Analyst (LPA) Angela Barutyan conducted an unannounced case management - incident visit at 10:32AM. The purpose of this visit is to conduct an investigation regarding a self-reported incident that occurred on 01/22/2025. Upon arrival, the LPA met with staff and Executive Director (ED) Eden Tolentino. Entrance interview conducted. During today’s visit, LPA Barutyan conducted a brief physical plant tour to ensure there are no health and safety hazards and conducted interviews with two (2) staff members and and one (1) resident. On 01/24/2025, the Department received two SOC 341s for suspected abuse of Resident #1 (R1) by an unknown staff member. Per the SOC 341, it was reported to Staff #1 (S1) that another staff member dragged R1 to the bathroom who then had to crawl back to their bed. ED reported the incident to Adult Protective Services (APS) and the Long-Term Care Ombudsman (LTCO) and informed R1’s responsible party. Ventura County Sheriff Officer conducted a visit on 01/24/2025 and determined the incident to be unfounded with no suspicion of crime. On 01/28/2025, the Department received an incident report for the incident. The incident report and SOC 341 stated that 911 was contacted when the suspected abuse was first reported on 01/24/2025. Paramedics conducted a full-body assessment and did not observe bruising, injuries, or rug burns on R1. R1 was not transported to the hospital. Facility management investigated the incident and interviewed AM, PM, and NOC shift staff, no concerns were noted. LPA interviewed R1 and no concerns were noted. Based on information obtained during the investigation, there is not sufficient evidence to prove a violation did occur. No citations issued. Copy of the report was provided.