Health inspection·June 18, 2025

F 0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to implement their policy and procedure on abuse for one of three sampled residents (Resident 1) when the financial abuse allegation was not reported to the California Department of Public Health (CDPH) and the alleged perpetrator (SSA/Social Services Assistant) was not placed on suspension. These failures had the potential for ongoing financial abuse towards Resident 1.Findings:During a review of Resident 1's Insurance Letter Addressed to Facility (ILAF), dated 6/2/25, the ILAF indicated, Dear Management . on 5/27/25, we [insurance company] received a complaint from the above named member [Resident 1]. We require your assistance in the form of a written response for your interpretation of the encounter stated by the member below . Member said she gave [SSA] her cash aid and food stamp card to bring her back food and kept the card. [Resident 1] said cash was also missing from her wallet and she [Resident 1] knows it was the [SSA] because she knew [Resident 1] was not able to get up to go into her purse.During an interview on 6/18/25 at 1:10 p.m. with Administrator in Training (AIT), AIT stated on 6/12/25, a police officer came to the facility regarding an allegation of financial abuse by Resident 1 towards the SSA. AIT stated the allegation was that SSA accessed Resident 1's bank account and took out money, was not sure of the amount. AIT stated a report of allegation of financial abuse was not reported to the CDPH. During an interview on 6/18/25 at 1:29 p.m. with Administrator, Administrator stated a police officer came to the facility on 6/12/25 regarding an allegation of financial abuse by Resident 1 towards SSA. Administrator stated the facility did not report the allegation of financial abuse to the CDPH. During an interview on 6/26/25 at 3:59 p.m. with SSA, SSA stated she was made aware of an allegation of financial abuse by Resident 1 prior to the police officer coming to the facility around 6/5/25 when Social Services Director (SSD) told her about the allegation. SSA stated she was not placed on administrative leave pending an investigation of the allegation of financial abuse. During an interview on 6/27/25 at 11:11 p.m. with SSD, SSD stated she was first made aware of an allegation of financial abuse by Resident 1 on 6/2/25. SSD stated Resident 1's insurance company had sent a fax on 6/2/25 regarding multiple concerns presented to them by Resident 1 including an allegation SSA stole money from her wallet. SSD stated SSA was not placed on administrative leave pending an investigation of an allegation of financial abuse until 6/12/25 (10 days after the allegation was made). SSD stated she did not report the allegation of financial abuse to the CDPH. During a review of the facility document titled Employee Time Cards (ETC), dated 6/2025, the ETC indicated, SSA worked on the following dates after an allegation of financial abuse was made on 6/2/25:a. 6/3/25 - 8:13 a.m. to 2:33 p.m.b. 6/4/25 - 7:05 a.m. to 2:33 p.m.c. 6/9/25 - 9:29 p.m. to 4:15 p.m.d. 6/10/25 - 8:27 a.m. to 8:41 a.m.e. 6/12/25 - 8:09 a.m. to 3:06 p.m. During an interview on 6/27/25 at 12:07 p.m. with AIT and Director of Nursing (DON), AIT stated he was aware of the letter Resident 1's insurance company had sent that involved an allegation of financial abuse. DON stated she was aware of a letter from Resident 1's insurance company regarding an allegation of financial abuse on 6/5/25. AIT stated SSA was not placed on Residents Affected - Few Page 1 of 2 555053 555053 06/18/2025 Valley View Care Center 729 Browning Road Delano, CA 93215

F 0607 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few administrative leave until after the police department came on 6/12/25 (10 days after Resident 1's insurance company sent their letter). AIT stated the facility policy and procedure on abuse was not implemented. During a review of the facility's policy and procedure (P&P) titled, Abuse, Neglect and Exploitation, undated, the P&P indicated, It is the policy of this facility to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prohibit and prevent abuse, neglect, exploitation and misappropriation of resident property. The facility will designate an Abuse Prevention Coordinator in the facility who is responsible for reporting allegations or suspected abuse, neglect, or exploitation to the state survey agency and other officials in accordance with state law. Reporting/Response . The facility will have written procedures that include . Reporting of all alleged violations to the Administrator, state agency, adult protective services, and to all other required agencies . within specified time frames . Immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily harm . Not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily harm. The Administrator will follow up with government agencies, during business hours, to confirm the initial report was received . During a review of the facility's policy and procedure (P&P) titled, Abuse Investigation and Reporting, dated 7/2017, the P&P indicated, All reports of resident abuse, neglect, exploitation, misappropriation of resident property, mistreatment and/or injuries of unknown source ( abuse) shall be promptly reported to local, state and federal agencies (as defined by current regulations) and thoroughly investigated by facility management. Findings of abuse investigations will also be reported. The Administrator will suspend immediately any employee who has been accused of resident abuse, pending the outcome of the investigation. All alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of an unknown source and misappropriation of property will be reported by the facility Administrator, or his/her designee, to the following persons or agencies . The State licensing/certification agency responsible for surveying/licensing the facility. 555053 Page 2 of 2