Third Allegation: Staff did not request medical attention. The investigation was conducted by LPA Singh which consisted of observation and interviews with relevant parties. The third allegation indicates that staff did not request medical attention. During the investigation, LPA was not able to obtain sufficient evidence to corroborate the allegation. LPA reviewed files and documentation, interviewed clients and staff, three (3) out of three (3) clients and three (3) out of three (3) staff indicated staff immediately helps them if they need medical attention and Staff promptly responds to the client's health needs and contacts emergency services.

Fourth Allegation: Staff yelled at resident: The investigation was conducted by LPA Singh which consisted of observation and interviews with relevant parties. The fourth allegation indicates that Staff yelled at resident. During the investigation, LPA was not able to obtain sufficient evidence to corroborate the allegation. LPA reviewed files and documentation, interviewed clients and staff, three (3) out of three (3) clients and three (3) out of three (3) staff indicated staff never yelled at resident and always being kind to the clients.

Fifth Allegation: Staff cancelled resident’s surgery appointment. The investigation was conducted by LPA Singh which consisted of observation and interviews with relevant parties. The fifth allegation indicates that staff cancelled resident’s surgery appointment. During the investigation, LPA was not able to obtain sufficient evidence to corroborate the allegation. LPA reviewed files and documentation, interviewed clients and staff, three (3) out of three (3) clients and three (3) out of three (3) staff indicated that staff never cancelled resident’s surgery appointment.

The investigation was conducted by LPA Singh which consisted of observation and interviews with relevant parties. The fourth allegation indicates that Staff did not treat resident with dignity and respect. During the investigation, LPA was not able to obtain sufficient evidence to corroborate the allegation. LPA reviewed files and documentation, interviewed clients and staff, three (3) out of three (3) clients and three (3) out of three (3) staff indicated Staff always treat resident with dignity and respect.

Therefore, based on the evidence obtained during LPA’s investigation, there is insufficient evidence to prove that Staff neglect led to resident sustaining a pressure injury (Allegation #1), Staff verbally abused resident while in care (Allegation #2), Staff verbally abused resident while in care(Allegation#3) Staff did not request medical attention (Allegation#4), Staff yelled at resident (Allegation#5) Staff cancelled resident’s surgery appointment (Allegation#6) are UNSUBSTANTIATED at this time. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED at this time.

An exit interview was conducted where this report (LIC9099), was discussed and provided to Licensee/Administrator Maria Cantoria.