complaint·July 17, 2025

During today's visit, LPA obtained the following documents: staff and client rosters. Regarding allegation: Licensee does not provide a safe environment for residents in care. it is alleged that a resident is abusing another resident and staff are not addressing the resident’s behavior, which is creating an unsafe environment for residents in care. Six (6) out of nine (9) staff interviewed denied the allegation. Two (2) out of nine staff interviewed corroborated the allegation and stated being concerned about the multiple occurrences of R1’s physical altercations with R3. One (1) out of nine (9) staff interviewed could not confirm nor deny the allegation. However, nine (9) out of nine (9) staff stated that if residents are involved in an altercation, the staff would immediately intervene, separate, and re-direct the residents being involved. Nine (9) out of nine (9) staff stated that there have been no reported injuries from any resident-on-resident physical or verbal altercations. Nine (9) out of nine (9) staff stated that R1 only able to speak a different language which causes R1 to become more agitated and become physically aggressive. However, nine (9) out of nine (9) staff stated that R1’s family does visit daily and also able to help communicate by the phone to provide assistance. Executive Director also stated that they use their cellphone apps to help communicate with R1. Based on record review, R1’s current physician’s report does not have a history of aggressive behavior. However, R1’s Pre-placement appraisal does state mild nervousness or anxiousness. The Executive Director and (2) out of eight (8) staff stated that R1 is adjusting due to recently moving into the facility and that medications taken also take time for R1 to become stable. Executive Director confirmed that in order to ensure safety, R1 and R3 were moved to different rooms on 05/28/2025. Executive Director stated that if resident’s aggressive behavior continues, they would continue to address and work with residents who have aggressive behaviors. Executive Director stated that R1 moved out of the facility on 06/06/2025. Five (5) out of five (5) residents interviewed denied the allegation and stated that they feel safe at the facility. None of the residents interviewed stated being physically or verbally abused by another resident or staff. Based on interviews conducted with facility staff, facility client, witnesses, and record review, there was not enough supportive evidence to concur with the reported allegation. Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegation. 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 allegations are UNSUBSTANTIATED. Exit interview held, and a copy of this report was provided to the Executive Director, Subishsani Kumar.