complaint·January 29, 2025

Regarding the allegation: Staff did not prevent residents from engaging in an altercation resulting in a fracture to resident in care. It is being alleged that resident #1 (R1) got in an altercation with resident #2 (R2) and was punched in their face which resulted in a non-displaced fracture at the level of the base of the left mandibular incisor. An Unusual Incident/Injury Report was sent to Community Care Licensing Department (CCLD) on 12/31/24 reporting a physical altercation between R1 and R2 that took place on 12/30/24. An SOC 341 report was also provided to CCLD, the Ombudsman and West Valley Police Department. LPA interviewed two (2) staff that were present during the fight. Two (2) staff that were present during the incident reported that R2 hit R1 in the facial area and the fight was stopped immediately by separating the two (2) residents from each other. Let it be noted, both residents are non-ambulatory and are in wheelchairs. Staff #1 (S1) reported that R2 hit R1 in the mouth area while in the dining hall. S1 immediately moved R2 away from R1 and staff #2 (S2) took R2 back to their room. S1 then called staff #3 (S3) to report the incident and R1 was given an ice pack to put around their mouth area which was bleeding. R1 was sent to the hospital and West Valley Police Department took a report on 12/31/24 of what had occurred. During LPA's interviews, R1 was able to tell LPA non-verbally by pointing at their mouth area when asked what happened between them and R2. When LPA interviewed R2, R2 admitted to hitting R1 because R1 was yelling and screaming. LPA interviewed thirteen (13) residents that confirmed when an incident occurs staff are helpful to them, and the staff seek medical attention if it is needed. Based on the LPA's observations and record reviews, staff and resident interviews conducted the allegation is UNSUBSTANTIATED at this time. An exit interview was conducted, no citation(s) issued, and a copy of this report was given to the resident care director, Mary Jane Reyes.