Complaint·December 5, 2025

AW1 noted that R1 verbally instructed staff to stop and subsequently began yelling for help. AW1 intervened to de-escalate the situation. Interview with Director of Assisted Living, Michelle Flores (DAL), corroborated statements provided by AW1. Additionally, DAL reported that an internal investigation was conducted and appropriate steps were taken, such as termination of involved staff and staff training on Dementia Behavior and Resident Personal Rights. Interview with Responsible Party (RP) confirmed they were made aware of the incident involving R1. RP emphasized the issue with staff was isolated and there were no further concerns. LPA attempted to interview R1 and R1 refused to be interviewed. LPA documented a review of the surveillance video, confirming that the footage corroborated the alleged events. LPA noted the video lacked audio; however, the footage was adequate to establish the sequence of events. Based on interviews, record reviews, and observation, the allegation that staff handled resident in a rough manner is Substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met, which poses a risk to the health and safety of the clients in care. The facility will be cited. An exit interview was conducted. A copy of this report was provided to Executive Director Danai Vergara, along with a copy of the LIC9099-C, LIC9099D, and Appeal Rights.