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F0609
D

Failure to Timely Report and Investigate Alleged Sexual Abuse

Lake Isabella, California Survey Completed on 06-26-2025

Penalty

No penalty information released
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The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to follow its Abuse Prevention Program - Reporting policy for two residents when an allegation of sexual abuse was not reported to the California Department of Public Health (CDPH), the Ombudsman, and local law enforcement (LLE) within 24 hours as required. Documentation showed that the initial report (SOC-341) was submitted to CDPH two days after the incident, and there was no evidence that the report was sent to the Ombudsman or LLE. The Director of Nursing (DON) confirmed the lack of timely reporting and missing documentation for the required agencies. Additionally, the facility did not complete and submit a follow-up investigative report (FIR) within five working days of the allegation, as mandated by facility policy. The DON acknowledged that the FIR had not been completed or sent to CDPH within the required timeframe. These actions were in direct violation of the facility's written procedures for reporting and investigating allegations of abuse.

See complete original report
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