Complaint Investigation Report

4 Out of 5 residents (R2-R5) interviewed stated they have not seen staff slapping/hitting residents or treating them in a rough manner.

LPA Dolores interviewed staff S1. S1 stated an incident with two staff members (S2, S3) and R1 on 06/16/2023 or 06/17/2023. Based on S1's internal investigation, the staff members denied the allegation of slapping the resident or handling the resident in a rough manner. The staff did admit to assisting the resident with transferring the resident from their wheelchair to the bathroom. S1 stated prior to the incident, there had not been any concerns. S1 did stated R1 could not confirm the cause of the bruise on R1's arm.

LPA Dolores interview witness W1. W1 stated he/she asked R1 about staff slapping R1. R1 was confused and could not answer the question. W1 reported seeing three (3) bruises on R1. W1 stated he/she believed that the bruises may have come from an assistive device that is installed in R1's bathroom. W1 stated R1 has a private caregiver, whom is not associated/employed with the facility, and observed the bruise on R1 on 06/17/2023. W1 stated in terms of R1’s definition of rough, he/she couldn’t get that information from R1.

On May 28, 2025, LPA Monter interviewed residents R6-R13. All residents interviewed stated they have not seen staff slapping/hitting residents or treating them in a rough manner.

LPA Monter interviewed staff S4-S9. All staff interviewed stated they have not seen staff hitting or slapping resident in care. 5 Out of 6 staff interviewed (S4-S7, S9) they have not seen staff handle residents in a rough manner. 1 Out of 6 staff (S8) stated he/she remembers of an event where two staff members were rough when providing care but could not remember where or when this occurred.

On June 4 & 5, LPA Manuel Monter interviewed staff S2 and S3. Both staff interviewed stated they did not hit/slap residents in care. Both staff interviewed stated they did not treat residents in a rough manner. Both staff interviewed stated they haven’t seen staff hit/slap residents in care or staff treating residents in a rough manner.

On June 6, 2025, LPA Monter interviewed staff S10. S10 stated he/she hasn't seen or heard about staff slapping/hitting residents or treating them in a rough manner.