Complaint Investigation Report

Department until after complaint visit to the facility conducted on June 13, 2022. (see Case Management dated 8/11/2022) Resident R1’s physician report states that resident has MCI. R1 was interviewed and wasn’t able to recall any occurrence of June 1/June 2. LPA made multiple attempts to interview alleged abuser with no success and there was no witness to this event. Department obtained a Declaration Statement from staff which only states that resident R1 “couldn’t ‘be’ change because” was “grabbing hands”. There is a record on R1’s file from hospice in which nurse states that found “left skin tear plus bruising noted to hand/arm” and that resident R1 stated that “caregiver was angry and pulling on arm”. Staff interviewed stated that “PM shift states that R1 can be very irritable; R1 has a very soft skin. There were 4 residents interviewed who had no complaints of staff. Based on interviews, Declaration Statement, and Vacaville Police Report, Department wasn’t able to prove or disprove that resident had personal rights violated by facility staff at this time.

A finding that the complaint allegation of "Personal Rights.” is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies cited during this inspection.