Incident investigation·September 5, 2024

On this day, September 5, 2024, Licensing Program Analyst (LPA) K. Nguyen arrived unannounced to conduct a case management due to an SOC 341 between resident on resident. LPA met with Grace Aquino, administrator, and informed the reason for visit. LPA interviewed Administrator regarding the incident. Administrator called and made police report regarding the unwitnessed physical alteration between R1 and R2. R2 was the one that provoke R1, so R1 cannot control R1 anger, but after R1 apology to R2 and everyone that R1 cannot control anger issue. R2 is still in the hospital, due to R2 needs higher level of care. Administrator and R2 family were discussing the higher of care for R2 prior to this incident, because R2 tend to have aggressive combative behavior, and server dementia. R1 is back from John George and continue to take medication daily. Requesting: Police report or an incident case number from police No deficiency observed on this day. Exit interview conducted and copy of this report provided.