Complaint Investigation Report

after they conducted a thorough investigation following S6's suspension as R1's integrity's at risk and for the concerns noted in accurate reporting on the reported 01/01/2024 incident at the facility. S1 provided LPA Brown copies of S6's Corrective Actions and their Incident Investigation. LPAs Brown and Gardner were able to obtain evidence to corroborate that S6 did not treat R1 with dignity or respect.

The allegation staff did not treat resident with dignity or respect is found to be SUBSTANTIATED. A deficiency is being issued per California Code of Regulations (CCR), Title 22. A substantiated finding means that the allegation staff did not treat resident with dignity or respect is valid because the preponderance of evidence standard has been met.

An exit interview was conducted where this report, LIC9099, LIC9099D, and Appeal Rights were discussed and provided to District Director of Clinical Services Sheryl Hendricks, RN, and ED Brittney Martinez, LVN.