Health inspection·October 3, 2024

F 0602 Protect each resident from the wrongful use of the resident's belongings or money. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to protect one of three sampled residents (Resident 1) from misappropriation of property (unauthorized purchases from another person's account or using someone else's property) when the housekeeper (HK) cashed out Resident 1's check without Resident 1's permission. This failure compromised the resident's financial security and violated resident's rights. Residents Affected - Few Findings: Review of Resident 1's face sheet (front page of the chart that contains a summary of basic information about the resident) indicated Resident 1 was admitted to the facility on [DATE] with diagnoses including major depressive disorder (mental health disorder characterized by depressed mood or loss of interest in activities). Review of the facility's 5-day Investigation Summary, dated 6/16/24, indicated that on 6/12/24, the facility was notified via email by Resident 1's daughter that checks had been cashed out from Resident 1's account. On 6/10/24, Resident 1 received a call from her bank informing her that checks were being cashed in her name. The facility promptly reported the matter to the police on 6/10/24, the police advised the facility that no further action could be taken until more evidence was gathered. Upon receiving copies of the checks, the facility identified them as matching an employee's information. The police were notified again, and an investigation was started on 6/12/24. The HK in question was not allowed to work in the facility after the issue was discovered on 6/12/24. The HK was arrested on 6/14/24, just before his scheduled shift. During an interview on 6/18/24 at 1:30 p.m., Resident 1 was interviewed in her room. She was alert and oriented and stated that she usually kept her checks in her purse. Resident 1 stated she received a call from her bank about unauthorized use of her checks and immediately informed the administrator. During an interview with the administrator (ADM) on 6/18/24, at 1:50 p.m., the ADM stated that the bank contacted him regarding unauthorized checks cashed out. The ADM stated the police was notified and Resident 1's daughter. The ADM confirmed that Resident 1 kept her credit cards and checks in her purse. During an interview with the social service director (SSD) on 10/8/24 at 1:42 p.m., the SSD stated that the facility had offered Resident 1 the option to store her valuables, such as checks and credit cards, in a secure safe at the business office. However, Resident 1 declined, preferring to manage her own finances. When the surveyor inquired if the facility provided any other options after Page 1 of 3 555792 555792 10/03/2024 Sunnyvale Post-Acute Center 1291 S Bernardo Avenue Sunnyvale, CA 94087

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Resident 1 refused the communal safe, the SSD confirmed that no other options were offered. When asked if a locked cabinet at Resident 1's bedside was provided, the SSD explained that it was not a practice in the facility. The only secure option offered was the communal safe monitored by the business office. Review of facility's policy, Investigating Incident of Theft and/or Misappropriation of Resident Property revised on 4/2021, indicated, 1. Residents have the right to be free from exploitation, theft and/or misappropriation of personal property. 2. Our facility exercises reasonable care to protect the resident from property loss or theft, including: a. implementing policies that strictly prohibit, and pursue to the full extent of the law, staff or employee theft or misappropriation of resident property; b. providing measures to safeguard resident valuables from easy public access . Based on observation, interview, and record review, the facility failed to protect one of three sampled residents (Resident 1) from misappropriation of property (unauthorized purchases from another person's account or using someone else's property) when the housekeeper (HK) cashed out Resident 1's check without Resident 1's permission. This failure compromised the resident's financial security and violated resident's rights. Findings: Review of Resident 1's face sheet (front page of the chart that contains a summary of basic information about the resident) indicated Resident 1 was admitted to the facility on [DATE] with diagnoses including major depressive disorder (mental health disorder characterized by depressed mood or loss of interest in activities). Review of the facility's 5-day Investigation Summary, dated 6/16/24, indicated that on 6/12/24, the facility was notified via email by Resident 1's daughter that checks had been cashed out from Resident 1's account. On 6/10/24, Resident 1 received a call from her bank informing her that checks were being cashed in her name. The facility promptly reported the matter to the police on 6/10/24, the police advised the facility that no further action could be taken until more evidence was gathered. Upon receiving copies of the checks, the facility identified them as matching an employee's information. The police were notified again, and an investigation was started on 6/12/24. The HK in question was not allowed to work in the facility after the issue was discovered on 6/12/24. The HK was arrested on 6/14/24, just before his scheduled shift. During an interview on 6/18/24 at 1:30 p.m., Resident 1 was interviewed in her room. She was alert and oriented and stated that she usually kept her checks in her purse. Resident 1 stated she received a call from her bank about unauthorized use of her checks and immediately informed the administrator. During an interview with the administrator (ADM) on 6/18/24, at 1:50 p.m., the ADM stated that the bank contacted him regarding unauthorized checks cashed out. The ADM stated the police was notified and Resident 1's daughter. The ADM confirmed that Resident 1 kept her credit cards and checks in her purse. During an interview with the social service director (SSD) on 10/8/24 at 1:42 p.m., the SSD stated that the facility had offered Resident 1 the option to store her valuables, such as checks and credit cards, in a secure safe at the business office. However, Resident 1 declined, preferring to manage her own finances. When the surveyor inquired if the facility provided any other options after 555792 Page 2 of 3 555792 10/03/2024 Sunnyvale Post-Acute Center 1291 S Bernardo Avenue Sunnyvale, CA 94087

F 0602 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Resident 1 refused the communal safe, the SSD confirmed that no other options were offered. When asked if a locked cabinet at Resident 1's bedside was provided, the SSD explained that it was not a practice in the facility. The only secure option offered was the communal safe monitored by the business office. Review of facility's policy, Investigating Incident of Theft and/or Misappropriation of Resident Property revised on 4/2021, indicated, 1. Residents have the right to be free from exploitation, theft and/or misappropriation of personal property. 2. Our facility exercises reasonable care to protect the resident from property loss or theft, including: a. implementing policies that strictly prohibit, and pursue to the full extent of the law, staff or employee theft or misappropriation of resident property; b. providing measures to safeguard resident valuables from easy public access . 555792 Page 3 of 3