Complaint·July 29, 2024

Interviews with staff and outside sources revealed that on 12/19/2023, an outside care provider was providing personal care services to R1 when R1 became aggressive. Statements made by outside sources and staff revealed that S1 entered R1’s room to assist the outside care provider. R1 remained agitated and attempted to hit S1 but did not make physical contact with S1. Outside sources revealed that S1 hit the right side of R1’s face with S1’s hand following R1’s attempt to hit S1. Interviews with S1 stated that S1 was attempting to grab R1’s hands to prevent R1 from punching or hitting when S1’s hand accidentally hit R1’s face. Interviews with S1 and outside sources made conflicting statements regarding the details of the incident, however both parties agreed that S1’s hand made physical contact with R1’s face during personal care on 12/19/2023. Interviews with staff and outside sources revealed that R1 did not sustain any injuries or physical marks following the incident on 12/19/2023. The Department has investigated the above-mentioned allegation and based on interviews, the preponderance of the evidence has been met, therefore, this allegation is deemed substantiated. The following deficiency is cited per CA Code of Regulations Title 22 and noted on the attached LIC9099-D page. An exit interview was conducted with Licensee Angie Norton via telephone and Caregiver Esther Villar, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22).