Complaint Investigation Report

On 09/22/2021, Resident R1 stated staff S1 slapped R1’s hand, resulting in bruising, and spit at R1. R1 stated to have had to go to the hospital for the bruise. R1 stated that R1 requested medications from S1 and R1 was late taking the medications. R1 stated S1 was mad at R1 for being late and slapped R1’s hands.

On 09/22/2021, Staff S1 stated R1 became agitated during medication pass and spat in S1’s face. S1 stated to have told R1 that R1 would be written up for spitting in R1’s face. S1 stated R1 began hitting R1 and S1 put up S1’s arms to block R1’s hits but did not strike back at R1.

On 07/14/2023, LPA Marrufo interviewed two residents, R2 and R3, who stated to have observed R1 spit at S1 and hit S1. R2 and R3 stated to have observed S1 put up S1’s arms to block from R1’s hits but did not observe S1 hit R1 back.

On 07/18/2023, R1 stated to have hit S1 because S1 said “bad words” to R1. R1 stated S1 put S1’s arms up in an “X” and R1 hit S1 on S1’s forearms. R1 stated R1’s wrists hurt when R1 hit S1. R1 stated to have not spat on S1. R1 stated S1 hit R1 first.

On 09/22/2021, R1 stated that R1 requested an apple from S1, but S1 refused R1’s request for an apple and told R1 that R1 cannot have an apple because S1 was mad at R1.

On 07/18/2023, S1 stated during interview to not recall if S1 ever denied R1’s request for an apple or a second serving of a meal.

On 09/22/2021, LPA Marrufo interviewed 9 residents and 3 staff. 4 out of 9 interviewed residents stated the facility does not always provide second servings of meals when a resident requests. 6 out of 9 residents stated the facility does always provide residents with a second serving of a meal when a resident requests.