complaint·June 30, 2023

The investigation revealed the following; Allegation: Lack of supervision resulting in resident's engaging in an altercation. Based on interviews conducted, the statements obtained were inconsistent and did not corroborate with the above-mentioned allegation. The alleged incident happened on 3/12/22, at approximately 9am. R1 was observed by S1 standing in front of R4’s door (in the hallway) having a verbal argument with R4. S1 intervened by de-escalating the situation and asked R1 to go back to his room. As R1 was going to his room, R2 came out of his room (nearby) and began yelling at R1 by saying, “you can’t be talking to R4 like that” and pushed R1 to the floor. S1 immediately intervened and separated both Residents and called S2 and S3 for help. R1 and R2 were separated and escorted back to their separate rooms. Shortly after, R1 and R2 went outside in the patio area (near their rooms) and began arguing a second time and S1, S2 and S3 immediately intervened and helped de-escalate the situation. The Pasadena Police Department was involved and spoke with both residents and no arrests were made or charges filed. R1 and R2 did not sustain any injuries, as a result of both incidents. The Assistant Administrator spoke with both residents after the incidents and asked them to stay away from each other to avoid further confrontations. R1 and R2 are independent and do not require one to one supervision. Although it appears an altercation did occur between R1 and R2, staff intervened immediately, conducted body checks and called the Police. All agencies were notified of the incident (via SOC 341). Therefore, there is insufficient evidence to indicate a lack of supervision on the part of the facility. Based on the information gathered, there is insufficient evidence to support the above allegation to be true. 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 and a copy of this report was provided to the Resident Care Director.