complaint·December 9, 2025

The investigation revealed the following: Allegation 2: Staff inappropriately spoke to resident On September 9, 2025, Licensing Program Analyst (LPA) conducted interviews with Residents 1- 11 (R1–R11). Resident 1 (R1) reported being physically abused by Staff 1 (S1). Resident 2 (R2) stated that they observed S1 handling R1 roughly while providing care and making inappropriate comments that were unrelated to caregiving. Residents 3-11 (R3–R11) reported that they had not experienced being spoken to inappropriately by any staff members. LPA attempted to interview Staff 1 (S1), but S1 was unavailable during the investigation. Staff 2 and Staff 3 (S2–S3) confirmed they were aware of the allegations of inappropriate communication and stated that an internal investigation had been initiated. S2 and S3 stated S1 admitted to speaking to the resident inappropriately while providing care. Records reviewed revealed that S1’s last day of work was September 1, 2025, and that S1 was officially disassociated from the facility on September 9, 2025. Staff members S4, S5, and S6 stated that they did not personally witness or hear S1 speaking inappropriately to R1, but they were aware of the incident through other sources. LPA also reviewed the facility’s personnel records for S1, which revealed that S1 failed to complete the introductory period and violated company policy. Based on information gathered, the department did find sufficient evidence to support allegation that the staff inappropriately spoke to resident. Based on interviews conducted and records reviewed the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. A citation is being cited on the attached LIC 9099D.