Incident investigation·November 20, 2025

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Administrator (AMD) Radhika Martinez. The purpose of the visit was to follow up on two incidents self-reported by the facility. The first incident was reported via Unusual Incident/Injury Report (IR) on 07/25/2025. The IR reported that on 07/22/2025, memory care resident R1 reported to R1's family member that R1 had been raped. The IR stated that R1's child reported to the facility that R1 has previously reported being kidnapped and that people are stealing from him/her. The IR stated R1's child believed R1's allegation of rape was a hallucination. During visit, LPA Marrufo interviewed staff S1-S4. Staff S1-S4 stated to have never observed anyone physically or sexually abuse R1. LPA Marrufo obtained a copy of a law enforcement incident card, which includes the case number that was also reported on the IR and is dated 07/23/2025. The incident card stated that a police report was not taken. LPA Marrufo conducted a wellness check on R1 and observed R1 to not have any bruises on his/her hands, face, or neck. R1 was dressed in clean clothing and was sitting in a wheelchair. The second incident was self-reported by the facility via SOC341 Suspected Adult/Elderly Abuse Form and Unusual Injury/Incident Report on 11/19/2025. The SOC341 stated that memory care resident R2 hit memory care resident R3 two times on the shoulder. See LIC809-C page for more information. Page 1 of 2. ADM stated during interview that staff have been instructed during staff meetings to keep R2 separated from other residents when R2 is exhibiting signs of being agitated and to immediately separate R2 from other residents if R2 begins hitting them. Staff S1-S4 stated to have been given training to keep R2 separated from other residents if he/she appears agitated and to immediately separate R2 from other residents if he/she begins hitting them. LPA Marrufo observed R2 and R3 while they were attending a live music event at the facility. LPA observed R2 and R3 sitting at separate tables. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Radhika Martinez and a copy of this report was provided. Page 2 of 2. END REPORT