Incident investigation·March 16, 2026

Licensing Program Analyst (LPA) Christina Valerio, LPA Reza Jamaly, and Administrator Certification Bureau Branch Chief Wendy Soerianta arrived to the facility unannounced to conduct a case management visit to follow up on two (2) unusual incident reports submitted to the department. LPAs and Branch Chief met with Administrator Elena Cuevas, and explained the purpose of the visit. On 03/12/2026, an Unusual Incident Report was submitted to the Regional Office regarding Resident 1 (R1) and Resident 2 (R2). R1 and R2 were involved in a physical altercation. R2 made a comment to R1, which triggered R2 to shove R1 on the chest. Staff redirected the residents. Residents were assessed for injuries and complaints. No injuries or pain were noted or observed. Alert charting was put into place. Responsible parties, Ombudsman, and law enforcement were contacted. On 03/16/2026, a SOC 341 was sent to the Regional office for a physical altercation between two residents (R1 and Resident 3 (R3)). A skin tear was observed for R1. The facility contacted law enforcement, responsible parties, and the Long Term Care Ombudsman. Administrator Elena Cuevas elaborated on both incidents. Based on the information provided, there are no health, safety, or personal rights risk to residents in care. The facility has completed the proper reporting requirements and have put plans in place for all residents involved. Per California Code of Regulations (CCR) Title 22 - no deficiencies are being cited today. An exit interview was held with Business Office Director Luna Garcia, and a copy of the report was provided.