complaint·November 25, 2025

(continued from 9099) The investigation consisted of interviews with eight (8) total staff (S1-S8), five (5) residents (R1 – R5), and taking a tour of the memory care section of facility. LPA obtained documentation of all staff training on abuse and mandated reporting of abuse dated 10/15/2025, 10/27/2025, 11/11/2025, 11/13/2025 11/14/2025 The investigation revealed regarding allegation: Staff caused injury to resident. It is alleged that a facility staff pinched a resident’s nose that caused a bruise. LPA interviewed eight (8) staff and all eight (8) staff stated they were aware of the incident. LPA interviewed five (5) residents and four (4) of five (5) residents could not corroborate the allegation. The resident stated someone pinched resident's nose but was not able to provide details due to cognitive issues. On October 26, 2025, at or around 10:40am S3 reported that S3 was assisting in providing care for resident with S2. S3 stated S3 witness S2 grabbing resident’s nose when the resident let out a scream. S2 stated S2 may have grabbed resident’s nose. S2 stated S2 only remembered getting resident's nose for a split second but not resident's lip. The facility investigated the incident and stated that S2 admitted to grabbing the resident’s nose. LPA reviewed and obtained photo of the injury to resident’s nose. S2 was placed off schedule on 10/27/2025 pending an investigation and was terminated on 11/10/2025. There is sufficient evidence to support this allegation. Based on LPA's observations and interviews conducted, the preponderance of evidence standard has been met, therefore the allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.