complaint·January 27, 2026

Cont. from LIC 9099 During subsequent visits on 11/04/25 between 11:30a.m. – 3:45p.m., LPA interviewed additional three (03) out of one hundred one (101) residents and on 01/06/26 LPA interviewed three (03) additional residents via -phone. Prior to this visit on 12/20/25 LPA Alvizar-Ettima reviewed records and other documentation obtained during the initial visit. Facility staff hit client with an object, resulting in bruising It was alleged that during nighttime hours, a staff member became upset because Resident #1 (R1) was out of bed. R1 reported that staff folded R1's walker and began swinging toward R1. R1 states they blocked the walker with the back of their hand, resulting in bruising to the back of both hands. During interviews with R1 revealed inconsistent statements regarding the incident. R1 appeared confused and was unable to clearly describe the events. R1 later stated they may have hurt themselves but could not provide specific details. Staff #1 (S1) and Staff #2 (S2) denied hitting R1. Both staff reported R1 was confused, attempting to leave the facility at night, throwing personal belongings, yelling, and exhibiting agitated behavior. Staff reported attempts to redirect R1 back to bed. S2 reported hearing R1 state, “Oh, I hurt myself,” but did not witness an injury occur. The Executive Director reported R1 has a history of nighttime confusion and behavioral episodes and denied staff misconduct. During interviews with residents, ten (10) out of one hundred one (101) residents reveal staff has not hit them and did not observed staff hitting R1. Resident #2 (R2) reported R1 is outspoken and has a history of agitation but R2 did not witness the incident. During facility visits, LPA observed staff present in resident areas, engaged in resident care activities, and responsive to resident needs. No inappropriate staff conduct was observed. Facility records indicated R1 has mild cognitive impairment and is not permitted to leave the facility unassisted. Based on interviews, observation and review records, there is insufficient information to support the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. No health and safety hazard noted during this visit. Exit interview was conducted and a copy of report was issued.