complaint·March 23, 2026

Allegation: Staff hit resident. It was alleged that a staff member hit Resident #1 (R1) with a chair on 03/16/2026. Interview with the Administrator Designee at 10:15 a.m. revealed that no staff member hit R1 with a chair and reported that on 03/15/2026, a care meeting took place with R1, management, and caregivers regarding R1’s behavior. The Administrator Designee reported that R1 has demonstrated flirtatious behavior toward staff and that previous incidents related to resident behavior had been addressed and reported to Community Care Licensing Division (CCLD). Interview with Staff #1 (S1) at 11:17 a.m. revealed S1 was working on 03/16/2026 and provided care to R1; however, S1 denied any incident involving a chair and denied hitting or touching R1 in an aggressive manner. Interview with the Operation Manager (OM) at 12:10 p.m. revealed that the OM visited the facility regarding a report received from the Administrator Designee and a placement agency concerning resident behavior. The OM reported speaking with residents and staff and did not observe any staff acting aggressively toward residents. The OM also reported that R1 has displayed flirtatious behavior toward staff and that a meeting was conducted to address appropriate boundaries. Interview with four (4) out of four (4) residents revealed that three (3) residents reported not observing staff hit any residents and stated staff do not engage in such behavior. One (1) out of four (4) residents interviewed stated being hit many times but declined to provide further details, did not identify the staff involved, and declined to describe the incident. Based on interviews conducted and lack of corroborating information, there is insufficient evidence to support the allegation. Therefore, the allegation is Unsubstantiated at this time. Allegation: Staff yell at residents . It was alleged that staff yell at residents in the facility. Interview with the Administrator Designee at 10:15 a.m. revealed staff maintain supervision and appropriate communication with residents. Interview with Staff #1 (S1) at 11:17 a.m. denied ever yelling at any of the residents and further stated that staff do not raise their voices at residents. Interview with the Operation Manager at 12:10 p.m. revealed no observation of staff yelling at residents and reported that staff interactions with residents are professional. Interview with four (4) out of four (4) residents revealed that residents reported staff do not yell at residents and residents reported feeling safe in the facility. LPA observations during the visit did not reveal staff yelling at residents. Based on interviews and observations, there is insufficient evidence to support the allegation that staff yell at residents. Therefore, the allegation is Unsubstantiated at this time. Continue on LIC 9099C Allegation: Staff speak inappropriately to residents. It was alleged that staff speak inappropriately to residents. Interview with the Administrator Designee at 10:15 a.m. revealed staff are expected to maintain professional interactions with residents and address resident behavior as needed. Interview with Staff #1 (S1) at 11:17 a.m. revealed staff communicate respectfully with residents. Interview with the OM at 12:10 p.m. revealed no observation of staff using inappropriate language toward residents and reported staff interactions with residents are professional. Interview with four (4) out of four (4) residents revealed that residents reported staff are respectful and do not use inappropriate language toward residents. Based on interviews conducted and available information, there is insufficient evidence to determine that staff speak inappropriately to residents. Therefore, the allegation is Unsubstantiated at this time. Appeal rights explained and exit interview conducted. Copy of this report signed and delivered. Allegation: Licensee does not ensure that staff have fingerprint clearance. It was alleged that staff working at the facility do not have proper criminal record clearances. Interview with the Administrator Designee at 10:15 a.m. revealed that all staff currently employed at the facility are fingerprint cleared and associated to the facility. The Administrator Designee confirmed that current staff are employed and working at the facility. LPA conducted a review of staff records during the visit and reviewed association and criminal record clearance information. Record review revealed that Staff #2 (S2) began working at the facility effective 11/28/2025 and submitted paperwork to the Community Care Licensing Division (CCLD); however, the documentation submitted was incomplete and S2 was not fingerprint cleared and associated to the facility at the time of the visit. Further review determined that the facility did not contact CCLD to verify the status of the association or fingerprint clearance for S2 prior to allowing S2 to work in the facility. Based on interviews and record review, the facility allowed S2 to work without obtaining a criminal record clearance and association as required. Therefore, the allegation is Substantiated at this time. A deficiency is issued on the corresponding LIC 9099-D page. No immediate health or safety hazards were observed during today’s visit. Exit interview conducted. Appeal rights discussed. Copy of report provided.