Incident investigation·December 22, 2025

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced case management - incident visit and met with Executive Director/Administrator (ED/ADM) Minnie Weber. LPA stated the purpose of the visit. On 12/12/2025, an incident report was received by the Department regarding an altercation between two residents (R1 & R2) who both reside at the memory care unit. R2 was observed wandering the hallway by staff and trying to open residents doors when R2 tried to open the door of R1s room, R1 answered and R2 stated you are in my room and hit R1 on the head. 911 was called and Emergency Medical Team (EMT) responded, but did not transfer R1 to the hospital for evaluation. The facility contacted the police department and was given a case number. During today's visit, LPA requested for the following documents for the two residents. Physician's report (LIC 602), appraisal needs and services plan for both R1 and R2 and other relevant information regarding the incident. ED/ADM stated that a staff (S1) tried to stop R2, but because R2 is a big person and can be aggressive, the staff called for help and another care giver came to assist (S2) to redirect R2. ED/ADM stated that R2 has a one on one care staff 24/7 the day after the incident and family decided to move R2 to a different facility by beginning of the year. At this time, this case in under review and department will conduct a follow up visit , if warranted. No deficiencies were cited during today's visit based on California Code of Regulations (CCR) Title 22 and copy of the report was provided to ED/ADM Minnie Weber.