Complaint·August 14, 2025

Allegation: Staff did not prevent resident from harming another resident in care It was alleged that facility staff did not prevent a resident from harming another resident in care. This investigation consisted of interviews with staff and residents, and records review. On 6/3/2025 LPA Gould conducted a visit to the facility. LPA interviewed 3 out of 5 residents, all residents interviewed reported having no concern regarding conflicts between residents. On 8/3/2025 LPA Hughes conducted a follow-up visit to the facility interview with 3 out 3 facility staff revealed that staff had no concerns about residents in care harming other residents. During an interview with Resident (R1) they were unable to recall details relevant to corroborating the information. A review of records, Special Incident Reports (SIR) from 5/22- 5/29/2025 sent to CCLD, indicated that staff intervened promptly between conflicts involving R1 and other residents in care, and redirected residents involved preventing further escalation of conflict. There was not enough evidence to support the allegation, therefore the above allegation could not be corroborated at this time. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED . A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.