Incident investigation·April 11, 2025

On 4/11/2025, Licensing Program Analyst(LPA) John Calandra arrived at the facility to conduct an unannounced Case Management follow up in regards to a self reported incident received by the Department on 03/17/2025. LPA Calandra was greeted by Ricardo Aban, Executive Director and explained the purpose of the visit. LPA learned that on 03/15/2025, R1 grabbed S1’s hair and began pulling it. S1 attempted to get R1 to stop pulling on S1’s hair by hitting R1. During the incident, S1 was calling other staff for help. S2 responded and helped R1 release S1’s hair from R1’s grasp. According to Ricardo Aban, S1 was indefinitely suspended pending investigation, and the facility conducted a training on 3/17/2025 on the subject of Dealing with Aggressive Behavior and Language in Caring for Persons with Dementia. LPA reviewed and gathered the following documents while at the facility: -LIC 602 for R1 -Appraisal of Needs and Services for R1 -Training certificates for S1 -Activities calendar for April 2025 Deficiencies are cited under the California Code of Regulations, Title 22. Failure to correct the deficiencies by the due date may result in civil penalties. An exit interview was conducted. A copy of this report along with Appeal Rights was left was with the facility representative.