Incident investigation·December 17, 2025

On 12/17/2025, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced case management - incident report visit. LPA met with the licensee Ante Buljan. On 11/07/2025, The Department received an incident report regarding a verbal abuse that took place on 08/24/2025. According to the incident report a staff person was observed yelling at a resident by another staff. According to interviews conducted, a staff person (S1), was assisting R1 but at some point R1 became agitated and picked up a stick to try and hit S1. S1 requested assistance from S2 at this point. R1 redirected agitation to S2 and in reaction S2 began yelling at R1. The event eventually de-escalated between staff and the resident. S2 and R1 apologized to each other after the incident. It was later found out that S1 recorded the incident after originally calling for help due to S1's inability to help the resident or de-escalate the situation. S1 has a language barrier in speaking English clearly as S1 primary language is Portuguese. As a result of the incident staff were trained in regards to personal rights. Both S1 and S2 no longer work at the facility. S1 has filed complaints to other outside agencies regarding various allegations unrelated to this incident. Those complaints and allegations are pending. As of today, there has been no substantiated allegations found against the facility from any other outside agencies. Citation is issued on the following LIC809D. Report is reviewed with Ante and a copy is provided on this day.