Incident investigation·March 7, 2025

On 03/07/2025 at 10:15 AM, Licensing Program Analyst (LPA) L. Alexander conducted an unannounced Case Management visit regarding incidents that was reported to Community Care Licensing Division (CCLD) on 03/02/2025. LPA met with Laura-Anne Leake-Mosley, Executive Assistant, and explained the purpose of the visit. Executive Director, Erica Diala, was not available but arrived around 11:35 AM. LPA interviewed (via phone) staff (S) S1 and S2 that witnessed the incident that took place on 03/02/2025 with resident (R) R1 and R2. S1 and S2 stated that they heard a loud scream coming from one of the rooms and they both went towards the loud noise. S1 stated that they both saw R1 slapping R2 with a plastic hanger. S1 and S2 stated that other caregivers came to assist. S1 and S2 stated that R1's responsible party was phoned and they also called 911 to which the Pleasant Hill Police Department (PHPD) was called and Emergency Medical Technicians (EMT) arrived. S1 and S2 stated that R1 did a FaceTime call with daughter and then they became calmed down. LPA interviewed S3 and S4 regarding another incident that was reported to CCLD on 03/02/2025. The incident occurred on 03/01/2025 between R1 and R3 where community cameras captured video of R1 punching R3 in the shoulder. LPA reviewed the video with S4 and observed R1 punch R3 in the hallway. R3 fell to the floor and caregivers immediately responded to the incident. S3 stated that R1's and R3's responsible parties were called as well as PHPD and EMT to check R1's and R'2 baseline. S3 stated that R3's responsible party declined for R3 to be transported to Emergency Room. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.