Failure to Timely Report and Investigate Alleged Abuse
Penalty
Summary
The facility failed to implement its Abuse, Neglect & Exploitation Policy in response to an allegation of psychological/mental abuse involving a resident. Specifically, the Report of Suspected Dependent Adult/Elder Abuse (SOC) for the resident, dated 4/25/25, indicated an allegation of psychological/mental abuse. However, the SOC was not sent to the California Department of Public Health (CDPH) or the local ombudsman within the required 24-hour timeframe, as confirmed by the Administrator during an interview and record review. Additionally, the facility did not submit the required 5-day investigation report to CDPH or the local ombudsman within five days of the incident. The facility's policy, as well as state regulations, require timely reporting and investigation of abuse allegations, including written reports to appropriate agencies within specified timeframes. The failure to adhere to these procedures resulted in the potential for an incomplete investigation and lack of protection for the resident involved.