Complaint·March 2, 2026

However, the Department was able to obtain a video recording of an incident involving R8 and Licensee Polly Valencia, which was captured in R8’s bedroom. In the video recording, R8 appears to be adjusting herself to lay down on her bed. Licensee Polly Valencia is then seen wrapping both of her arms around R8 and tossing her down on the bed in an aggressive manner. R8 is then heard groining, which suggests this action may have caused her discomfort. At this point, R8's back is on the bed, however, her legs are still hanging on the side of the bed. Licensee Polly Valencia is then seen grabbing R8's legs with both arms, and tossing them onto the bed in an aggressive manner. R8 is seen saying something to Licensee Polly Valencia after this action, however, it is unclear of what was said. Regarding the allegation, staff spoke in an inappropriate manner to resident, the following has been concluded: It was alleged that staff spoke in an inappropriate manner to R8. The Department was unable to conduct an interview with R8 for this allegation, due to R8 passing away on July 7, 2024. The Department conducted seven resident interviews. Four out of the seven residents were unable to qualify for an interview. However, three out of the seven residents denied the allegation. The Department conducted seven staff interviews, including an interview with Licensee Polly Valencia. Seven out of the seven staff interviewed denied the allegation. However, the Department was able to obtain a video recording of an incident involving R8 and Licensee Polly Valencia, which was captured in R8’s bedroom. In the video recording, Licensee Polly Valencia is seen speaking to R8 in an inappropriate manner multiple times. Licensee Polly Valencia is heard telling R8, "I am disgusted with you". Licensee Polly Valencia is heard telling R8, "I am absolutely disgusted with you". Licensee Polly Valencia is also heard telling R8, "Shame on you". Licensee Polly Valencia is heard making a fourth statement to R8, however, the video recording ends before the full statement is captured. Based on the evidence gathered during this investigation, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. Deficiencies are being cited on the attached LIC9099-D page. An exit interview was conducted with Licensee Polly Valencia. A copy of the report and Appeal Rights were provided. The Department conducted seven staff interviews, including an interview with Licensee Polly Valencia. Seven out of the seven staff interviewed denied the allegation. The Department obtained a video recording from a camera that was placed in Resident #8 (R8) bedroom. The Department reviewed R8’s file. The Department observed that there was a consent form which authorized a camera to be placed in R8’s bedroom for safety reasons. The consent form was signed by R8’s Responsible Party and by Licensee Polly Valencia. However, the consent form was not signed by R8 and the Department was unable to conduct an interview with R8 for this allegation, due to R8 passing away on July 7, 2024. Regarding the allegation, staff forced resident to eat, the following has been concluded: It was alleged that staff forced R8 to eat. The Department was unable to conduct an interview with R8 for this allegation, due to R8 passing away on July 7, 2024. The Department conducted seven resident interviews. Four out of the seven residents were unable to qualify for an interview. However, three out of the seven residents denied the allegation. The Department conducted seven staff interviews, including an interview with Licensee Polly Valencia. Seven out of the seven staff interviewed denied the allegation. Regarding the allegation, staff hit resident, the following has been concluded: It was alleged that staff hit R8. The Department was unable to conduct an interview with R8 for this allegation, due to R8 passing away on July 7, 2024. The Department conducted seven resident interviews. Four out of the seven residents were unable to qualify for an interview. However, three out of the seven residents denied the allegation. The Department conducted seven staff interviews, including an interview with Licensee Polly Valencia. Seven out of the seven staff interviewed denied the allegation. Based on the evidence gathered during the investigation, the Department is unable to ascertain if the allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, the three allegations are deemed UNSUBSTANTIATED. An exit interview was conducted with Licensee Polly Valencia and a copy of the report was provided.