Incident investigation·July 15, 2025

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct a case management – incident visit. LPA met with Business Office Director, Frank Lim. The purpose of the visit is to follow-up on a SOC-341 the Department received on 07/10/2025 regarding a video that was posted on a social media app of a resident (R1) who was being mistreated by his/her authorized representative in a public setting. During visit, documents were obtained for this case management to include R1's POA (power of attorney) documents, physician's report, pre-placement appraisal, individual service plan, progress notes, and behavioral expression appraisal. 7 staff members were interviewed. Based on staff interviewed, 7 out of 7 staff members denied any knowledge or observations of R1's authorized representative physically, verbally, mentally, and emotionally abusing R1 while in the community or outside of the community. 7 out of 7 staff members denied the observation or knowledge of R1's authorized representative mistreating R1 in the community and outside of the community. 6 out of 7 staff member stated that R1 has never mentioned any negative comments or experiences with his/her authorized representative. 1 out of 7 staff members stated that R1 has called his/her authorized representative "mean" but R1 did not go into specific examples or details as to how his/her authorized representative is mean. Page 1 of 2. Based on interview with R1, it was stated that he/she informed 2 staff members that his/her authorized representative was mean but R1 did not go into the detail about the specific statements shared with the 2 staff members to include who, what, when, where, and how. These 2 staff members were interviewed, who both denied R1 mentioning any mistreatment or negative experiences with his/her authorized representative to them. To ensure the resident's safety, the facility has implemented frequent checks for R1 throughout the day. This incident was cross reported to other agencies for further investigation. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with BOD Frank Lim and a copy of the report was provided. Page 2 of 2.