Complaint·March 15, 2023

On 5/17/2022, LPA Camara conducted an initial complaint investigation visit. During the visit LPA interviewed staff at 2:58 p.m., reviewed and obtained pertinent records at 3:27 p.m., and interviewed three residents at 3:38 p.m., 3:45 p.m., and 4:31 p.m. During today's visit on 3/15/2023, LPAs interviewed two staff at 2:39 p.m. and 2:44 p.m. and three residents at 10:04 a.m., 10:16 a.m. and 11:08 a.m. Facility records showed the incident on 4/5/2022 at 11:40 a.m. with R1 was reported to the Department. The incident report stated R1 reported to staff they lost their balance and fell in the elevator. R1 hit their head and had a skin tear. Staff immediately called 9-1-1. R1 was released back to the facility the same day at approximately 4:30 p.m. Staff who were interviewed stated that while R2 can sometimes get upset with people, they never witnessed R2 try and physically touch, push, hit or kick any other residents. R3 who as in the elevator during the incident could not recall how R1 fell. R2 denied doing anything other than yell for staff to come help as R1 had fallen in the elevator blocking the door. Other residents interviewed stated they have not witnessed R2 or any other resident be physically aggressive toward other residents. Based on the information obtained during interviews and document reviews, the Department does not have sufficient evidence to support the above allegation. Therefore, the allegation "Facility staff failed to keep resident safe" is deemed unsubstantiated at this time. Exit interview conducted. A copy of the report was provided to Executive Director Sanjuana "Joanna" Enriquez.