Health inspection·July 21, 2023

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to report an incident of alleged resident financial abuse to one of two sampled residents (Resident 1) to the California Department of Public Health (State Agency) not later than two hours after the allegation was made. This deficient practice may potentially resulted Resident 1 being subjected to additional financial abuse. Findings: During a review of Resident 1 ' s admission Record indicated Resident 1 was admitted on [DATE], with diagnoses that included heart failure (heart cannot pump enough blood to meet the body ' s needs) and hypertension (high blood pressure). During a review of Resident 1 ' s Physician Order Sheet indicated an order to admit the resident under Hospice Care (a program that gives special care to people who are near the end of life and stopped treatment to cure or control their disease) due to diagnosis of chronic systolic congestive heart failure ( a specific type of heart failure that occurs in the heart ' s left ventricle). During a review of Resident 1 ' s Minimum Data Set (a standardized assessment and care planning tool) dated 6/21/23, indicated the resident had short term memory recall problem and required limited assistance (staff provide weight bearing support) in most levels of activities of daily living with one-person physical assist. During a concurrent observation and interview, on 7/21/23 at 2:10 p.m., Resident 1 was lying in bed alert and coherent. Resident 1 stated, he notified Family Member 1, that Family Member 2 used his pin number to get $300 to $500 from his debit card without his permission. Resident 1 stated, Family Member 1 reported to facility ' s Social Service staff about the unauthorized use of his debit card by Family Member 2. During a concurrent interview and record review, on 7/21/23 at 3:21 p.m., with the Social Service Designee (SSD), Resident 1's Interview Record dated 7/10/23, indicated the SSD received a phone call from Family Member 1 at 9:09 a.m. on 7/10/23. Family Member 1 notified the SSD that Family Member 2 had previously withdrawn a total amount of $3,000 from Resident 1 ' s bank account without the resident ' s consent. Family Member 1 believes Family Member 2 was only visiting Resident 1 to ask for his debit card. Family Member 1 informed the SSD that Family Member 2 had the pin number to Resident 1 ' s debit card and would attempt to withdraw more money after visiting the resident on 7/10/23 or Page 1 of 2 555107 555107 07/21/2023 Victoria Care Center 3541 Puente Avenue Baldwin Park, CA 91706

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few 7/11/23. The facility ' s fax transmittal verification report indicated the SSD sent the SOC 341 (report of suspected dependent adult/elder abuse) to the State Agency on 7/11/23 at 9:11 a.m. (24 hours later) to notify the State Agency of the alleged financial abuse to Resident 1. The SSD stated, the allegation of financial abuse was not reported to the State Agency either by phone or fax within two hours after the allegation was made because the Hospice Social Worker told her it was only an allegation; no proof and facility have 24 hours to report to the State Agency. The SSD stated, she was instructed by the Administrator to report the alleged resident financial abuse not later than two hours to the State Agency, but she failed to do so. During an interview on 7/21/23 at 4:10 p.m., the Administrator stated, he should have check with the SSD to ensure that facility ' s policy of reporting the allegation of resident abuse not later than two hours to DPH was followed. During a review of facility ' s policy and procedure titled, Abuse, Neglect and Exploitation, dated 12/19/2022, indicated reporting of alleged violations to State Agency immediately, but not later than two hours after the allegation was made. 555107 Page 2 of 2