complaint·January 5, 2024

Closed-circuit television system evidence was reviewed as part of this investigation. On the day of the incident, there was one staff member in the dining room supervising four residents. R1 was talking to another resident while R2 was standing on the other side of the room. R1 left talking to the resident and casually walked toward R2. The security video is blurry, but it appears that R1 tried to grab R2 by the arms and R2 pushed R1 away in a startled or defensive move. R1 fell to the ground. Caregiver 1 (CG1) responded immediately and called for assistance on their handheld radio. Medication Technician (MT1) responded to the call for assistance. MT1 assessed R1 for injuries and called 911 to have R1 transported to the hospital to be evaluated. According to CG1, they did not see the incident between R1 and R2 that caused R1 to fall. CG1 did not hear the conversation or any argument between them. Video review showed, R1 casually walked toward R2 without obvious signs that R1 was upset and an altercation between R1 and R2 was imminent. In fact, the video shows that R1 approached R2 and R2 was most likely defending himself from R1. Based on the Department’s investigation, the allegation of Neglect/lack of supervision and care resulted in physical abuse of a resident by another resident, resulting in serious injury is Unsubstantiated. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Office Manager, Avalos, whose signature below confirms receipt of these rights.