Incident investigation·March 17, 2025

Licensing Program Analyst (LPA) Steve Chang conducted a case management - incident visit and met with Licensee (LCN) Thelma Blanchard. On 3/12/2025, the Department received a notice that an altercation occurred between 2 resident (R1, R2). LPA toured the facility with LCN. LPA interviewed Licensee, 1 residents (R1). LCN stated on 3/12/2025, around 9:30AM, resident R1 sat at the dining table and R2 approached to the dining table. R1 and R2 had altercation. R1 pushed R2 away and R1 was leaning on the chair. LCN stated R2 did not fall down on the floor. LCN stated he/she talked to case manager around 11:30AM. R1 stated he/she does not remember what the date the incident occurred. R1 stated he/she pushed R2 away not hard. R1 stated after that he/she walked away from R2. Based on the interview, the facility staff lack of supervision leading to altercation between resident R1 and R2, and R1 pushed R2 away. Citation was issued today. See LIC809-D. Exit interview was conducted with LCN. The reports were provided to LCN for review and signature. Appeal Rights and a copy of the report were provided to LCN.