Incident investigation·October 22, 2025

Licensing Program Analyst Manuel Monter conducted an unannounced case management incident visit regard a self reported incident regarding alleged abuse. LPA met with Janice Lacambra, Referred to as staff S9. On October 17, 2025, the Department received an incident report from the facility. The incident report stated, S1 grabbed R1 by the left arm and forcefully pulled him/her away from the storage door near the dinning area. It was reported that S1 was yelling at R1 inside the activity room. No injuries noted on R1. On October 21, 2025, LPA interviewed Staff S2-S9. 4 Out of 8 staff (S2, S5, S7, S8) interviewed stated they have observed staff S1 yelling at residents in care. 4 Out of 8 staff (S3, S4, S6, S9) interviewed stated they haven't seen S1 yelling at residents in care. S9 stated S1 naturally has a louder speaking voice. S9 stated when he/she is communicating with residents in the dinning room or activity room, he/she sometimes needs to speak louder so residents that are hard of hearing. S9 works at the facility 5 days a week, 40 hours a week and hasn't observed S1 yelling at the residents. 3 out of 8 Staff (S2, S5 S8) interviewed stated they have seen staff S1 handing residents in a rough manner. 5 Out of 8 staff (S3, S4, S6, S7, S8) staff interviewed stated they have not seen staff S1 handle residents in a rough manner. Staff S9 stated after the accusation was made, he/she assessed R1 and did not observe any marks or bruises. LPA determined the allegation of alleged verbal/physical abuse is unsubstantiated. No deficiencies cited during today's visit. This report was Memory Care Director Janice Lacambra and a copy of the report was provided.