Harborview Senior Assisted Living

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: Neglect/Lack of Supervision resulting in serious bodily injury.

On 02/21/2026, LPA Janet Ngallo conducted a subsequesnt visit to deliver findings regarding the above-mentioned allegation. LPA spoke with Medical Technician Gloria Castro and explained the purpose of the visit. Regarding the allegation Neglect/Lack of Supervision resulting in serious bodily injury, during a visit a resident (R1) was found to have "severe swelling" to elbow and bruising on upper arm and was "experiencing severe pain when touched or moved". During the investigation, staff members were interviewed, and records were reviewed. (Cont. on LIC 9099-C) Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 21, 2026 · control 08-AS-20250116150125

Allegation investigated: Resident was sexually abused while in care Resident sustained unexplained injury while in care.

On 12/09/2025 at 3:00PM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger meet virtually via Teams to deliver findings for the above allegations. LPA explained the purpose of the visit with Administrator Genoveva Guerrero. During the course of investigation, the Department conducted interviews with staff, the resident and Witnesses. On the allegation: Resident was sexually abused while in care. interviews were conducted with R1, staff member S1, and witness W1. Although R1 has a diagnosis of dementia, she was alert, able to answer questions, and able to engage in conversation. S1 reported that R1 underwent colon surgery due to colon cancer, and the procedure was successful. R1 returned to the facility with a colostomy bag on 3/19/2023, Continued on 9099C... Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 9, 2025 · control 08-AS-20230428094732

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 provide adequate supervision resulting in a resident's elopement and injury Staff did not provide resident’s records to resident’s authorized representative

On 9/26/2025, LPA Grace Donato conducted a telephone interview to the facility to deliver findings. LPA spoke with Genoveva Guerrero and explained the purpose of the call. Regarding the allegation of Staff did not provide adequate supervision resulting in a resident's elopement and injury, Reporting party (RP) stated that a resident (R1) was admitted 4-5 days prior to the incident and when admitted the facility was aware of R1’s history of dementia and his/her tendencies to flee. On 2/6/24, R1 exited through a staff door and no other details are known such as how far R1 went, how long R1 was missing, and who found R1. All that is known is that R1 managed to get on top of some rocks, fell and fractured R1s left wrist. During the course of the investigation, staff members were interviewed, photos obtained, and records were reviewed. page 1 of 3 Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 26, 2025 · control 08-AS-20240621145032

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: Lack of supervision resulting in resident on resident abuse

Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced visit to conclude a complaint investigation and deliver findings regarding the above-mentioned allegation. LPA was met by Genoveva Guerrero, Manager, and was granted entry into the facility. LPA met with Ms. Guerrero and discussed the purpose of the visit. On 5/16/23, the Department received this complaint alleging, lack of supervision resulted in resident-on-resident abuse. Investigation consisted of interviews with pertinent residents, staff, and outside sources, record review, and LPA observations. Per an outside source, during the evening of 5/12/23, Resident 1 (R1) and other residents were in the dining room eating dinner. Resident 3 (R3) left the table to get a drink but was coming right back. Resident 2 (R2) came up and pulled out the chair where R3 had been sitting. R1 told R2 someone was sitting in that chair. R2 got mad and wouldn't go find another despite there were many open ones available. R1 stood up tothe state’s words, verbatim · CDSS document, Apr 4, 2024 · control 08-AS-20230516113325

Allegation investigated: Licensee did not provide copy of admission agreement Licensee did not safeguard residents' belongings Licensee did not report resident's change in condition to responsible party

Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced facility visit to conclude a complaint investigation regarding the above-mentioned allegations. LPA identified himself and discussed the purpose of the visit and complaint conclusion with Genoveva Guerrero, Manager. On 5/25/2023, the Adult and Senior Care Regional Office received a complaint alleging; the licensee did not provide a resident’s representative with a copy of the admission agreement, did not safeguard a resident’s personal belongings and did not report a change in the resident’s condition to the representative. The Department’s investigation consisted of observations, interviews with pertinent staff and outside sources and facility record reviews. It was alleged, Resident 1's (R1) representative was not given a copy of the Admission Agreement. Record review show the representative signed all required pages of the agreement. Staff interviews indicate that the representative refused a copy on the day they sthe state’s words, verbatim · CDSS document, Apr 4, 2024 · control 08-AS-20230525113628

Allegation investigated: Medications were not given as prescribed.

Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced visit to deliver investigation findings. LPA was granted entry into the facility and met with Jeffrey Settineri, Administrator, to whom she disclosed the reason for the visit. Community Care Licensing (CCL) has investigated the above-listed complaint allegation. The investigation consisted of a tour of the facility and interviews of facility residents and staff. It was alleged that on 4/27/2023, Resident 1 (R1) [LIC 811 Confidential Names List was provided to identify the resident and staff] was not given his/her evening medications. Interviews conducted during the investigation yielded that R1 was not administered two prescribed medications on the evening of 4/27/2023. There was no reason for the medications being missed, other than that staff did not administer the medications. Substantiatedthe state’s words, verbatim · CDSS document, Mar 28, 2024 · control 08-AS-20230501103744