Complaint·May 16, 2022

The investigation revealed the following: In regards to the allegations, Resident is threatening another resident and Resident is calling another resident names , it is alleged that R4 has physically threatened R6. R4 moved into R6's personal space and made a threatening comment. R6 had to be relocated to another building. It is also alleged that R4 is harassing, screams at, and makes derogatory comments towards R6. Interview with Executive Director Liyon O'Quinn revealed that R6 reported that R4 had insulted them and had made derogatory comments but did not report that they were threatened physically by R4 but did invade R6's personal space by coming very close to their face. Executive Director stated that R4 has been causing a lot of trouble at the facility. She stated that R4 drinks a lot and becomes uncontrollable and destructive. She stated that R4 has been observed to threaten staff and also use derogatory and racial insults towards staff. She stated that many residents have reported their concerns regarding R4 to her but their concerns are based on hearsay. For example, residents feel threatened by R4 due to the outbursts that the resident has had at the facility in which they destroyed the facility lobby and hearing from other residents about their interactions with R4 and residents do not want R4 to continue living in the facility because they fear for their safety. Mrs. Liyon stated that R4 is redirected when they are having such behaviors and the police have been called numerous times. She stated that staff redirect R4 whenever they begin having an episode and stated that the facility has attempted to get R4 evicted but have not been successful. After she received the report from R6 she stated that she relocated R6 so that they felt safe away from R4. Executive Director stated that staff always ensure that all residents are kept safe and out of harms way. Interviews conducted with 3 out of 6 staff revealed that R4 has intimidated facility residents and has invaded residents personal space. 3 out of 6 staff stated that residents are scared due to R4's continuing outburst of rage and destructive behavior. 6 out of 6 staff stated that R4 continuously insults staff and uses racial slurs and derogatory comments toward staff and has also threatened staff with their cane. Interviews with 3 residents revealed that R4 has screamed at them, made derogatory comments and has also harassed them. Interviews conducted with 10 out of 19 residents revealed that they feel that the facility is safe and that staff do their best to keep them safe but R4 is the cause of their concerns and their fear, and expressed that they should not have to feel that way in their home. For allegation, Resident was able to obtain bleach , it is alleged that R4 tried to pour bleach under the R6's door. It is unknown where R4 got the bleach from. R4 is destructive to property and has been arrested by the police but eventually returned to the facility. Interviews conducted with Executive Director O'Quinn and 6 facility staff revealed that R4 did pour bleach at R6's door. Staff stated that the reason for the incident is unknown as well as where R4 got the bleach from. Interview conducted with R6 revealed that R4 poured bleach at their door due to R6 not engaging and participating in flirting with R4 and not wanting to hang out with R4 in their room. R6 also stated that R4 tried to offer them wine and became very upset when R6 declined the offer. R6 stated that they were very scared when R4 became destructive and uncontrollable outside of their door. R4 admitted to throwing bleach on R6's room door and stated that they think they did it due to drinking too much alcohol. R4 stated that they purchased the bleach at a local store and stated that staff did not know that R4 had the bleach. LPA toured the outside of R6's room and observed the damage that was caused when R4 poured the bleach at the doors of rooms 209,and 212.. Based on interviews conducted with facility staff, facility residents, and LPA observations, the preponderance of evidence standard has been met; therefore, the above mentioned allegations are found to be SUBSTANTIATED . Pursuant to the California Code of Regulations, Title 22, Division 6, Chapter 8, the following deficiency was observed and cited during the visit. (Refer to LIC 9099D). Exit interview was conducted with Executive Director Liyon O'Quinn. A copy of the report and appeal rights were provided to Executive Director.