complaint·September 18, 2025

Continued from LIC9099 Staff roster with contact information, staff schedule, staff S2, S3 and S4’s written statements of incident that occurred on 09/05/2025. S1’s resignation letter and training records. Allegation: Staff hit resident documentation and Interviews with staff members revealed that S2, S3 and S4 witnessed S1 slapping resident. Based on LPA's information obtained during investigation, the preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, are being cited on the attached LIC9099D. Exit interview conducted. A copy of this report and appeal rights provided. Exit interview conducted. A copy of this report and appeal rights provided . Continued from LIC9099 Allegation: Staff did not provide resident's authorized representative with an explanation of incident s I nterviews with ED, and RP, revealed facility did call RP on 09/08/2025 to explain the incident of staff slapping resident . Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegations are UNSUBSTANTIATED . Exit interview conducted. A copy of this report provided.