complaint·December 16, 2025

***report continues from LIC9099*** Documentation and staff statements also noted that R1 was often combative and physically aggressive with staff. Staff reported multiple incidents in which R1 scratched, hit, or attempted to strike caregivers. The Administrator provided photographs of scratches on staff members’ arms reportedly caused by R1. Interviews with all staff involved revealed that no staff member witnessed R1 being physically abused or yelled at by staff. Staff denied the allegations and stated that they continued to attempt care despite R1’s refusal and combative behavior. Records showed that R1 had called 911 on several occasions accusing staff of physical abuse and yelling; however, no evidence was found to substantiate these allegations. LPA interviewed R1 at CEI in Concord. R1 was pleasant and talkative during the interview and shared various personal stories. When asked about her stay in Oakland, R1 shook her head, frowned, and stated, “I forget now.” R1 recalled one incident in which a staff member allegedly pushed a walker into her leg, causing a bruise, but she was unable to provide additional details regarding the date, staff involved, or surrounding circumstances. This agency has investigated the above complaint. We have found that the complaint was unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted, a copy of this report provided.