complaint·October 15, 2024

However, based on the interviews with one out of the two residents, one witness resident confirmed Resident #1 (R1) falling on October 6, 2024 as a result of a black dog running in the hallway of the 1st floor. The second resident stated that they did not observe or have knowledge of the fall. Additionally, four out of the four staff confirmed R1 falling. Based on the review of the Care Note dated October 6, 2024, R1 did in fact sustain a fall because of the dog. Therefore, based on LPA's observations, interviews which were conducted, and the records that were reviewed, the preponderance of evidence standard has been met, therefore the following allegation: Facility did not ensure hallways are free from obstruction is deemed SUBSTANTIATED. A deficiency is being cited as per the Title 22, Division 6, Chapter 8 of the California Code of Regulations is being cited on the attached LIC 9099D. An exit interview was conducted with Chief Operating Officer Faye Shen, and a copy of this report including the appeal rights were provided at the end of the visit.