Lily Of The Valley Ii

Allegation investigated: Staff over medicated a resident in care Facility did not seek medical attention in a timely manner

Licensing Program Analyst (LPA), Natasha Persaud conducted a telephone visit to conclude the complaint investigation regarding the above mentioned allegation. LPA contacted Licensee, Christine Matthews to discuss the finding. During the investigation, records were reviewed, and interviews were conducted with staff and outside sources. It was alleged that staff over medicated a resident in care and the facility did not seek medical attention in a timely manner. Both allegations were regarding Resident #1 (R1). On 05/04/24, an outside source visited R1 and R1 was very sleepy and could barely keep their eyes open. On 05/06/24 an outside source called the facility and spoke with staff who stated R1 was asleep. The outside source called back an hour later and staff stated R1 was asleep but fine. The third time the outside source called they were told the same thing, and requested staff wake R1 up because it was unusual for R1 to sleep all day and so late in the day. Continued on an LIC 9099the state’s words, verbatim · CDSS document, Jun 4, 2026 · control 08-AS-20240520145352

Allegation investigated: Licensee neglected resident

Licensing Program Analyst (LPA), Natasha Persaud conducted a telephone visit to conclude the complaint investigation regarding the above mentioned allegation. LPA contacted Licensee, Christine Matthews to discuss the finding. During the investigation, records were reviewed, and interviews were conducted with staff and outside sources. It was alleged that the licensee neglected a resident. The administrator’s interview confirmed that individual was identified by the facility as a renter. The renter resided on the second floor of the facility, where there were no resident rooms. The renter has resided at the facility since 2006. A review of the Facility Personnel Report Summary indicated that the individual reported as a resident was fingerprint cleared and associated to the facility. Facilities are not required to fingerprint and/or associate residents. Title 22 Regulations outlines that any adults other than a resident, residing in the facility, shall have a criminal record clearance.the state’s words, verbatim · CDSS document, May 15, 2026 · control 08-AS-20211027084921

Allegation investigated: Neglect of resident resulting in pressure injuries Staff did not seek medical attention for resident Staff restricted resident from calling 911 to seek medical attention Staff handled resident in a rough manner Staff did not meet incontinence needs of resident Resident was not accorded dignity in relationships with staff

Licensing Program Analyst (LPA), Natasha Persaud conducted a telephone visit to conclude the complaint investigation on this closed facility. LPA spoke with Licensee, Christine Matthews and emailed reports. During the investigation, the facility was toured, records reviewed and interviews conducted with staff, residents, and outside sources. It was alleged neglect of Resident #1 (R1) resulting in pressure injuries. R1 sustained bilateral Stage 3 and Stage 4 pressure injuries on their coccyx. On 08/25/22, the pressure injuries were observed and documented by a medical professional. R1 was receiving Home Health (HH) services with a certification period of care from 02/2022 through 08/19/22. R1 was provided weekly visits from nurses. On 08/19/22, the HH agency discharged R1 and documented R1’s centered goals per plan of care were met. R1’s vital signs were stable, skin remains intact. There was no documentation of a Stage 3 or Stage 4 pressure injury reflected in the HH discharge notes. Rthe state’s words, verbatim · CDSS document, May 1, 2026 · control 08-AS-20220825132357

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff sexually assaulted a resident in care

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegation. LPA identified herself to, was greeted by, and explained the purpose of the visit to Caregiver Vanessa Cruz. Administrator Rodelio Aquino arrived during the visit. The Department’s investigation consisted of interviews with residents, staff, and outside sources, records review, and a tour of the facility. It was alleged that staff sexually assaulted a resident in care, specifically that staff 1 (S1) sexually assaulted Resident 1 (R1) during an incontinence brief change. Review of R1’s most recent medical assessments dated May 2023 revealed that R1 had a diagnosis of mild cognitive impairment, was not confused or disoriented, and was able to follow directions and communicate needs. Continued to LIC9099-C page... Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 14, 2024 · control 08-AS-20230828094536

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not meet resident's needs Staff did not provide food of good quality Staff did not provide basic laundry services

Licensing Program Analyst (LPA) Natasha Persaud conducted an unannounced visit to commence a complaint investigation. LPA identified herself and discussed the allegations mentioned above with Staff, Editha Daep. During today's visit, LPA briefly toured the facility, requested records, interviewed staff and residents. It was alleged staff did not meet Resident #1's (R1) needs concerning showering, dressing, and transferring. R1 was admitted to the facility on 02/14/24. The Admission Agreement was signed and outlined R1 required assistance with dressing, toileting, bathing, grooming, mobility task, laundering of personal clothing, and clean bed linens weekly or as often as needed. R1 had an injury and required assistance from staff. Staff interviews revealed R1 refused assistance and R1 stated they could handle it themselves. Therefore, staff only assisted when R1 requested assistance. Resident interviews confirmed staff are assisting them with their activities of daily living. Some resithe state’s words, verbatim · CDSS document, Mar 14, 2024 · control 08-AS-20240311115112

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.