complaint·March 16, 2022

I NVE STIGATION REVEALED THE FOLLOWING: Allegation: Staff did not prevent residents from engaging in a physical altercation. It is alleged that a physical altercation between residents occurred on 03/09/22 and that no staff got involved to prevent it. The complainant states resident #1 (R1) and an unknown female resident got into a fight and hit one another. An unknown staff was present and did nothing to prevent it from happening. An interview with (R1) confirmed she instigated the fight by grabbing the female's forearm. However, (R1) is uncertain of the name of the female resident or staff who witness the incident. (R1) unable to describe any witnesses involved and claims there were many residents at the time. (R1) states she did not suffer from injuries only a mild pain when hit with an uppercut that landed across her right side of the face. (R1) later recanted stated the female's name who is non-ambulatory and uses a wheelchair for mobility. (R1) claims the other resident was blocking the entrance of the dining area during lunchtime. (R1) reports she notified medical technician staff #2 (S2) who later informed administrator staff #1(S1). (R1) added no medical assistance was required and was not seen by a physician. Interviews conducted with residents #2-#10 (R2-R10) revealed no one is able to verify this incident and no one observed any act of aggression on residents. (R2-R10) stated staff are responsive and will not allow for any residents to engage in any type of behavior. Interviews with staff #1-#2 (S1-S2) both mentioned in (R1's) narrative; disputes having any knowledge of the incident. There is no evidence of the incident recorded in daily progress notes nor an unusual incident report submitted to Community Care Licensing (CCLD). Additional interviews with staff #3-#5 (S3-S5) claim they did not witness or have knowledge of such incident ever occurred. (S3) claims if any of the kitchen staff observed this type of behavior, one will immediately report it. (S1) claims no video camera footage was captured. The Department observed (R1) no bruising, bump, or wounds on the face that would indicate some type of impact had occurred from the alleged incident. Based on information gathered, an inspection of the facility, observation, analysis of (R-1)'s service records, and interviews conducted, the Department found no evidence to support the allegation listed on this complaint report. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated. An exit interview was conducted with Ginger Enriquez and a copy of the report was provided.