complaint·May 8, 2025

On 04/03/2025 between the hours of 12:18pm - 12:28pm, LPA interviewed the Administrator (A1), regarding the above allegation. A1 stated she was unaware of the allegation. On 04/03/2025 between the time of 9:31am - 12:28pm, LPA interviewed Staff # 1 (S1)– Staff 6 (S6) and on 04/23/2025 between the hours of 9:21am – 9:38am, LPA interviewed Staff (7) regarding the allegation. 2 out 7 staff interviewed confirmed an incident occurred between Resident #6 (R6) and Resident #7 (R7), but Staff had different various of the incident that occurred between R6 and R7. 5 out 7 staff interviewed had no knowledge of the incident that occurred between R6 and R7. On 04/03/2025 between the hours 1:17pm - 2:26pm, LPA interviewed Resident #1(R1) – Resident #5 (R5). On 04/03/2025 LPA attempted to interview Resident# 6 (R6) but due to the communication barriers, the resident was unable to answer interview questions. On 04/03/2025 LPA attempted to interview Resident #7 (R7) who declined to be interviewed. 5 out of the 5 residents interviewed were unaware of the incident. On 05/06/2025 between the hours of 2:30pm – 3:30pm, LPA conducted a records review for Resident #7 (R7) records and observed the following: No history of aggravation per the resident’s physicians report (dated 09/29/2023) and need and service plan (dated 10/30/2024) No history and or record of LIC 624: Unusual incident/Injury Report (from December 2024 – April 2025) Based on the information gathered, interviews, and record reviews, there is not enough evidence to support the allegation mentioned above. 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 Exit interview conducted with Marcus Falanai Resident Care Coordinator & copy of the report was provided.