Complaint·July 11, 2025

During visit on 06/17/2025, LPA Marrufo conducted interviews with R1, R2 (R1’s spouse), and S1. R1 stated that S1 came into R1’s living unit around 8:20 AM on the morning of the incident. R1 stated that S1 grabbed R1 by the collar, lifted R1 from the bed, and pushed R1 into R1’s wheelchair. R1 stated to have told S1, “Stop it! Don’t do that,” while S1 was grabbing R1 by the collar. R1 stated S1 took R1 to the bathroom and put R1 on the toilet. R1 stated S1 picked up R1 by R1’s shirt and pushed R1 against the bathroom wall, hitting the grab bar that is mounted against the wall. R1 stated S1 was standing holding up R1 against the wall while standing behind R1. R1 stated that S1 has pushed R1 against the wall on other occasions and has told S1 not to push R1. R1 stated to have not reported any of S1’s prior behaviors to facility management. R1 stated S1 moved R1 into the kitchen for breakfast, and then S1 left the living unit. R2 stated that S1 had already left the living unit when R1 told R2 that S1 handled R1 roughly. R2 stated to have been in the other living room across from the bedroom when the incident occurred. R2 stated to have not heard anything that happened. R2 stated that when R1 was in the kitchen and S1 had left, R1 told R2 that S1 was very rude and grabbed R1 by the shirt. R2 stated to have seen the bruise on R1. R2 stated that R1 had a red bruise on the neck by the shoulder. R2 stated the bruise was about four finger spaces long. During interview, LPA Marrufo observed R1 and did not see any bruising on R1’s neck. During interview, S1 stated to have entered R1 and R2’s living unit between 8:00 AM to 10:00 AM on the morning of the incident. S1 stated that R1 has an injured arm, so S1 transferred S1 from the bed to the wheelchair by putting one arm under R1’s non-injured shoulder and another arm around R1’s waist to avoid injuring R1’s shoulder. S1 denied grabbing R1 by the shirt collar. S1 stated to have not pushed R1 against the bathroom wall. S1 stated to have not told R1 to “shut up.” S1 stated to have told R2 to be quiet but does not remember the exact words S1 used towards R2. LPA Marrufo conducted a telephone interview with R2 on 06/27/2025. R2 stated that S1 has never told R2 to “shut up” or be quiet. Page 2 of 3. Based on information from interviews conducted with staff, and records reviewed, although the allegations listed above may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. Therefore, the allegations are unsubstantiated. No deficiencies were cited under California Code of Regulations Title 22. This report was reviewed with Administrator Ida Gemignani-Stearns and a copy of this report was provided. Page 3 of 3.