complaint·October 29, 2025

S1 stated that staff, S2, reported to S1 that R1 went down to the front desk on the day of the incident. S1 further stated it was R2's family member, FM2, who sent her text message about the incident and S1 assumed FM2 reported the incident to FM1. S1 stated FM2 indicated that R1 and R2 had a fight because R2's cpap was broken. S1 stated she went to R1 and R2's apartment on 10/19/25 and observed R2's arm has bruise and that R2 reported R1 grabbed R2. ED stated the incident happened after ED was gone for the day and that S1 and S2 reported the incident to the ED that night. FM1 stated that R1 and R2 had an incident on 10/18/25, of which R2 punched R1 in the ribs. R2 admitted the physical altercation to FM1 but the incident was not reported by the facility to FM1. FM1 further stated that on the day of incident, R1 went down to the front desk and called FM1 to report the incident. R1 was crying and distraught. R1 stated having altercation with R2 and that R1 grabbed R2 in the arm. R2 stated pushing R1 during the altercation. Review of email communications revealed it was FM2 who reached out to ED on 10/19/25 regarding the incident and the email was only responded on 10/21/25. Based on information gathered, the allegation is substantiated. Deficiency is cited from Title 22 California Code of Regulations and listed on 9099D. Failure to submit proof of correction by plan of correction due date and any repeat violation may result in civil penalty. Deficiency and plan and proof of correction were discussed with ED. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report provided. S2 confirmed the incident that R1 went to the front desk staff. The front desk staff called her, and she along with the care staff, S3, went to R1 and R2's apartment. R2 broke down and admitted to calling R1 out from drinking alcohol which made R1 got out of control. S2 further stated that they facilitated R2 and told R1 to watch tv. R1 and R2 are not on hourly check and S2 only provides passing of medications to R2. S1 confirmed the incident; however, S1 was off on the day it happened. R2 admitted to having an altercation with R1 and that R2 pushed R1 in the ribs. R2 further stated R1 grabbed him in the arm which R1 admitted but R1 does not remember the date it happened. ED stated a personal companion provided by a third party was placed for R1 back in December 2024 until the family discontinued paying the 3rd party. ED further stated that R1 and R2 are not on hourly check which LPA confirmed upon review of Service Plan. Based on all the information gathered, the allegation is unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. No deficiency cited. Exit interview conducted and copy of this report provided.