Incident investigation·May 1, 2025

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management - incident visit and met with Senior Executive Director (ED) Radhika Martinez. The purpose of today's visit is to follow up with the case management visit on 3/19/2025 regarding inappropriate behavior. On 3/19/2025, the Department received a report that a staff (S1) had an inappropriate behavior to a resident (R1). Based on the interview with ED, ED stated this is the first incident of staff S1 regarding inappropriate behavior. ED stated there was no witness for the allegation. Based on the interview with 6 staff. 6 out of 6 staff stated they never saw staff S1 had any inappropriate or aggressive behavior. 2 out of 6 staff stated S1 is over active. Based on the interview with resident R1, R1 stated S1 did not touch his/her private area and did not kiss him/her. R1 stated he/she does not think it was a sexual abuse. R1 stated S1 was so close to him/her and grabbed his/her shoulder. R1 stated he/she is not sure if it is an issue of inappropriate behavior and not sure what is S1's intention. R1 stated that is why he/she did not report immediately. Continue on LIC809-C. Page 1 of 2. Based on the interview with R1's family member (FM), FM stated R1 told him/her on 3/17/2025 about the incident. FM stated he/she does not think it was a sexual abuse and did not file a complaint. FM stated he/she just notified ED about the incident. Based on the interview with residents, 1 out of 4 resident stated he/she does not know S1. 3 out of 4 residents stated they were not aware of S1 had sexual abuse or inappropriate behavior. 2 out of 4 residents stated they observed the behavior of S1 was over active and strange. ED stated the facility Director of Resident Care Service conducted an investigation for the allegation but did not find any evidence for the allegation. ED stated S1 was separated from the facility on 3/4/2025. Based on the investigation and interview, the Department found that the case is UNSUBSTANTIATED. An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation did or did not occur. No Citations were noted today. Exit interview was conducted with ED. The report was provided to ED for review and signature. A copy of the report was provide to ED. Page 2 of 2.