complaint·December 11, 2025

Continued from LIC9099 Investigation Findings: It was reported to the department that a resident in the facility reported that they had been beaten several times in the past year by another resident. It was also reported that staff said they monitor the individual and break the fights up when they occur, but a resident did not feel that that was adequate. LPAs reviewed the facility’s staff schedule and saw that there is adequate staff to monitor all residents and meet the level of care and supervision needed for the residents. Licensee reported that staff are trained in altercation prevention and trained in how to mitigate and redirect behaviors. File reviewed showed that resents are getting their needs met, and that no resident has a level of aggression or behavior that staff cannot meet. Staff do monitor residents throughout the day and actively engage with residents. Staff step in as soon as possible to prevent physical altercations and redirect residents when voices rise, or resident behavior starts to escalade. Staff are trained to report all unusual incidents to the department. All residents are able to leave the facility unassisted, and no resident requires one-on-one care. LPAs observed that residents do get along, and the facility was found to be safe and well-maintained. Staff are responsive and attentive to residents. Altercations between residents may happen, but staff do their best to prevent escalation and would step in right away should a physical altercation break out. Staff have reported to such event occurring in the recent past. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is unsubstantiated. No deficiencies observed during visit. Exit interview conducted and a copy of this report provided.