Every finding on record at Kaiser, Riverside, Home Health Agency (Parent)

The following reflects the findings of the California Department of Public Health during the investigation of one Complaint. Complaint Number: 2645406. The inspection was limited to the specific complaint investigated and does not represent the findings of a full inspection of the facility. One deficiency was identified for the facility reported incident number: 2645406 .

Immediate reporting of abuse by all staff CFR(s): 484.50(e)(2) Any HHA staff (whether employed directly or under arrangements) in the normal course of providing services to patients, who identifies, notices, or recognizes incidences or circumstances of mistreatment, neglect, verbal, mental, sexual, and/or physical abuse, including injuries of unknown source, or misappropriation of patient property, must report these findings immediately to the HHA and other appropriate authorities in accordance with state law. This ELEMENT is not met as evidenced by: Based on interview and record review, the home health agency (HHA) failed to report an allegation of sexual abuse involving Patient 1, to the State Survey Agency (SSA) immediately, when the HHA was made aware of the alleged sexual abuse on October 3, 2025. This failure had the potential to result in delayed investigation which placed the patient at risk for further abuse. Findings: On January 2, 2026, at 10:39 a.m., an unannounced visit to the facility was conducted to investigate an allegation of abuse. On January 2, 2026, at 11:11 a.m., during a concurrent interview and record review with the the Clinical Supervisor of Rehabilitation Services (CCRS), the CCRS stated the HHA had a department called Community Agency Division (CAD), which received an email from an outsourced HHA, regarding a complaint received related to a patient (Patient 1), alleging one of the therapists violating her. The CCRS stated she got the e-mail from CAD, then reported the alleged abuse involving Patient 1, to her supervisor and HR (Human Resources). The CCRS also stated she reported the allegation to the HHA’s Risk Compliance Officer. The CCRS stated she had the dates of notifications on her timeline of events. On January 2, 2026, at 11:30 a.m., during an interview with the HHA Chief Clinic Director, she stated there were so many email exchanges related to Patient 1’s allegation, since the HHA’s process was for an allegation of abuse to be reported to the person overseeing the case then to Risk Management, then Risk Management would determine if an internal or outside investigation was warranted, and if any referral to other outside agencies was needed. On January 2, 2026, at 2:47 p.m., in an concurrent interview and review of the agency policy and procedure with the CCRS, the CCRS stated since the HHA received the allegation of sexual abuse on October 3, 2025, the allegation should have been reported to the SSA on October 8, 2025. On January 2, 2026, at 12:42 p.m. a review of the document titled, “Timeline of Event (Care at Home Risk),” indicated the following: - On October 2, 2025, the outsourced agency emailed HHA’s CAD regarding the allegation of sexual abuse; - On October 3, 2025, CAD emailed Riverside HHA Supervisor, and the CCRS subsequently emailed her supervisor and HR; - On October 9, 2025, the CCRS reported the event to Risk Management, several consultations and discussions occurred, the involved employee was contacted, and a meeting was scheduled; - On October 14, 2025, Adult Protective Services (APS) was notified by the CCRS’ supervisor, and APS directed the supervisor to call CDPH instead. The complaint was received at the SSA on October 14, 2025, at 9:18 a.m (13 days after the HHA was made aware of the allegation of abuse). A Review of the agency’s policy and procedure titled, “Assessment of Possible Abuse/Neglect,” reviewed August 2023, indicated, “…Immediately investigate all alleged violations involving anyone furnishing services on behalf of the Home Health and immediately take action to prevent further potential violations while the alleged violation is being verified. Investigations and/or documentation of all alleged violations must be conducted in accordance with established procedures…Take appropriate corrective action in accordance with state law if the alleged violation is verified by the Home Health administration or outside body having jurisdiction, such as the State survey agency or local law enforcement agency; and ensure that verified violations are reported to State and local bodies having jurisdiction (including to the State survey and certification agency) within 5 working days of becoming aware of the violation…”