Complaint·March 24, 2026

It was reported that R1 opened a closed door to another resident’s room to speak to S1 regarding the issue. S1 advised R1 that the gardener had disposed of the shrub. It was then reported that R1 continued to follow S1 throughout the kitchen, it was then reported S1 was at the kitchen sink and R1 was at their right side in their immediate space. It was then reported that S1 put their arms out to provide distance after R1 slipped and fell on the floor. Per the report, Former Executive Administrator Jozeff Springer was called and advised of R1’s fall. Jozeff then called Staff 2 (S2) to evaluate R1 and assist R1 up. Per report and interviews R1 was able to stand up and walk back to their room. Per report, Orange County Sheriff arrived on 01/21/2026 regarding the incident. Regarding the allegation that staff physically abuse resident in care, based on interviews with 4 out of 4 staff denied witnessing physical abuse. 1 out of 6 residents denied physical abuse and the other 4 residents were not oriented to time and space and unable to answer LPA’s questions. Per sheriff's office report they viewed surveillance video taken on 01/19/2026 and concluded that no assault and battery occurred, LPA was unable to view video as facility denied having a copy. Per interviews with 4 out of 4 staff denied emotional abuse towards residents. 1 out of 6 residents denied emotional abuse from staff. Per interviews 4 out of 4 staff denied allowing another staff member to physically abuse residents in care. Per interviews with 4 out of 4 staff denied not assisting resident timely manner. Per interviews 4 out of 4 staff denied not safeguarding residents possessions. Therefore based on the preponderance of evidence through records reviewed and interviews the allegations staff physically abused resident in care, staff emotionally abused resident in care, staff member did not prevent another staff member from physically abusing resident in care , staff did not provide assistance to resident in care in a timely manner and staff do not safeguard resident’s possession while in care are determined to be UNSUBSTANTIATED, meaning that although the allegation may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violation occurred. No deficiencies cited. An exit interview was conducted, and a copy of this report was provided.