During the subsequent visit, LPA interviewed staff #1 through staff #6 and resident #1 through resident #7. LPA obtained Resident roster, Staff roster, incident report dated 01/14/20 and resident #1’s medical report.

On today’s visit, LPA Tao met with Administrator, Lorenzona Medina and CEO, Rodrigo E. Ramos and discussed the complaint investigation findings. The investigation consisted of interviews with staff and residents; review of facility records for R1 an R2, and R1’s medical records.

Regarding allegation: Lack of supervision results in resident being assaulted on several occasions by another resident. It was alleged that R1 was being physically assaulted by R2 on several occasions and staff were not providing care and supervision. The investigation revealed the following: Interviews with six (6) out of six (6) staff revealed they were not acknowledged of the incident. Staff stated they did not witness or hear any noise from R1 and R2’s room during the incident. Interviews with five (5) out of seven (7) resident revealed that they were not acknowledged of the incident. Interviews with administrator indicated that R1 and R2 have been roommate for several years and an incident between R1 and R2 occurred on 01/14/20. Administrator stated that R1 and R2 had no prior history of having altercations with one another. LPA interviewed with R2 indicated that R2 denied hitting R1 or having an altercation with R1. LPA interviewed with R1 indicated that on the morning of 01/14/20, staff #2 (facility caregiver) observed R1’s left hand was swollen and asked R1 what happened. R1 reported to S2 that R2 hit R1 with a cane during an argument in the resident’s room. Staff #2 immediately sent R1 for medical treatment. R1 was treated for two fractured fingers in the left hand. Medical staff reported the abuse to local law enforcement and R2 was arrested for assaulting R1. Per the review of the special incident report, dated 01/14/20, it indicated that S2 observed R1 had a swollen hand and asked what occurred. R1 informed S2 that R2 hit him with a cane. S2 then sent R1 for medical treatment and R1 was treated for finger fractures of the left hand. Administrator placed R1 and R2 into different rooms on 01/15/20 in order to ensure R1 and R2 safety. Administrator reported the incident report, dated 01/14/20, to Licensing timely.

(-Continued in LIC 9099 C-)

On 01/14/20, during the night of the incident between roommates of R1 & R2, in which R1 required medical care, staff assisted R1 in obtaining medical care in timely manner upon staff being made aware of the incident. Based on interviews conducted with staff and residents, including R1 & R2; documents review, including incident report dated 01/14/20; R1’s medical records review, dated 01/15/20; local law enforcement report #20-2887 review, dated 01/15/20, the investigation did not reveal that staff failed to provide adequate care and supervision to R1 or R2 and did not reveal that R1 and R2 had a prior history of having altercations with one another. Therefore, the is insufficient evidence to support the allegation that resident was being assaulted by other resident due to lack of supervision. 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.