Failure to Timely Report Abuse Investigation Results to State Agency
Penalty
Summary
The facility failed to send the results of an investigation into an alleged staff-to-resident abuse incident to the California Department of Public Health (CDPH) within the required five working days. The incident involved a resident with dementia who was admitted to the facility and was the subject of an abuse allegation involving a staff member. The facility became aware of the alleged abuse on 4/15/25 and initiated an investigation on the same day. According to interviews and record reviews, the investigation was completed and the results were sent to CDPH seven working days after the facility became aware of the incident, exceeding the five working day requirement. The facility's own policy, revised in 10/2023, specifies that the results of all abuse investigations must be reported to the state survey and certification agency within five working days. The administrator confirmed that the results were not sent within the required timeframe.