complaint·May 15, 2025

Allegation: Resident subjected to physical abuse while in care Investigation Finding: Unsubstantiated During investigation, LPA interviewed resident’s responsible party (POA), resident (R2), staff (ADM, S1) and reviewed resident’s (R1) documents. Review of R1’s admission agreement showed R1 was first admitted at the facility on 02/25/25. R1’s physician’s report dated 02/23/25 showed his primary diagnosis as acute exacerbation of COPD community acquired pneumonia with a secondary diagnosis of severe alcohol use disorder with alcohol intoxication. LPA interviewed S1 who stated that on 04/25/25 at around 7PM, he witnessed R1 drunk and was being verbally and physically aggressive towards another resident who is the grandmother of the licensee. S1 stated R1 moved his wheelchair aggressively towards R2, side swiping and breaking a bunch of side table decorations which caused bruising on his upper left arm. S1 stated R2 then kicked the kitchen half door with his leg punching a large hole in the middle. LPA interviewed R2 who stated she defended herself by striking him with a thin bamboo back scratcher on his shoulder. ADM stated staff called the police who arrived around 7:30PM, conducted a health check, interviewed residents (R1, R2) and did not file a report when they found out that R1 was drunk and was verbally and physically abusive towards another elderly resident who is the grandmother of the licensee. On 05/30/25 at 9:30AM, LPA interviewed R1’s responsible party (POA) who stated that on 05/14/25, R1 called 911 and was taken by ambulance to the hospital. He claimed physical abuse while in care and refused to go back to the facility. POA stated R1 was safely relocated to another elderly facility in Livermore on 05/19/25. Although the allegation may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Therefore, the allegation that resident was subjected to physical abuse while in care is unsubstantiated. No deficiencies cited. Exit interview conducted and a copy of this report provided .