1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32 | The investigation revealed the following:
Allegation: Staff did not obtain medical care for resident. It is alleged that clients are not being cared for, and that a client fell with a scratch and was not seen by the nurse. Staff interviewed denied the allegation stating that any client who falls is evaluated and taken to the emergency room or urgent care if needed. Staff also stated there have been no fall incidents involving clients. S1 indicated that they have a protocol in place for falls and injuries, whereby staff notify the administrator, conduct body checks and document assessments. S1 also noted that falls require notifying the physician and family. Client interviewed stated they have not fallen or suffered any scratches, nor have they seen any other clients fall and sustained an injury. LPA reviewed documents and found no incident reports (SIRs) of falls or injuries between January 2026 and the present. The shift notes were also reviewed, and there was no mention of a fall or of clients sustaining minor injuries. LPA attempted to contact SC at San Gabriel Pomona Regional Center but received no response. During the visit, the facility was observed to be safe and clean, with no signs of neglect. Also, LPA did not observe scratches/bruises or any signs of neglect on any of the clients. Therefore, there is insufficient evidence to corroborate with this allegation.
Based on statements and interviews conducted with client and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation.
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.
Exit interview conducted and a copy of this report was provided to Bundi Nyaga, Administrator. |