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 | All Staff stated that they have had training on mandated reporting of abuse and care of residents. All three staff stated that they have never abused or seen another staff abuse a resident in care at this facility. All staff interviewed stated they have never used fist or hands and have never been rough with residents in care. On 12/05/2025, LPA Jeffries conducted an interview with facility Administrator, Thelma Tablada, who stated that R1 did have a fall at this facility and was taken to the hospital on 07/02/2025 as a result of that fall, R1 returned to the facility on the same day. Administrator stated that there were no other falls that R1 had at the facility that required medical attention. Administrator stated that all the staff has had mandated reporter training, and current on all regulated annual training hours including the 8 hours of required specific dementia care training. On 12/05/2025, 12/06/2025 and 12/09/2025 LPA Jeffries attempted to contact R1’s responsible party by phone, LPA left contact information on voicemail with no contact as of 02/26/2026. LPA reviewed R1’s documentation at new facility with an Admission Agreement date of 11/01/2025, additionally R1 had a competed a physician’s report (LIC602) dated 10/24/2025 which provided no additional evidence of physical abuse. On 01/09/2026 LPA Jeffries conducted an over the phone interview with R1’s current facility Administrator, who stated, “R1 had no evidence of bruising on hands or arms at the time of admission or currently (01/09/2026). Administrators also stated that they were not told of any recent or past abuse of R1 in care. Administrator stated that R1’s current condition would result in no response to interview questions. At this time, based on interviews, and documentation there is not enough evidence to support the allegations of, “Staff physically abused resident in care.” and “Staff did not provide timely medical attention to residents.” and both are unsubstantiated at this time.
As to the allegation of, “Facility has physical plant issues. “It was alleged that the facility was not clean, toilet not working and windows not closing. On 12/05/2025, LPA Jeffries conducted a physical tour of the facility. LPA noted that all commodes in the facility were clean and in good repair, and all windows were functioning properly. On 12/05/2025, LPA conducted an interview with facility Administrators who stated R1’s family member was not happy with the smell of the facility during a recent fire, but all windows were working properly. LPA conducted interviews with R2, R3, and R4, all who stated that there are no issues with facility bathroom fixtures and facility windows operating as normal. On 12/05/2025, LPA interviewed S1, S2, and S3, all staff stated that the facility is always clean and in good repair. Based on interviews, and observations, there is not enough evidence at this time to support the allegation of, “Facility has physical plant issues.” And in unsubstantiated at this time.
Exit interview, report read, and report provided. |