complaint·January 3, 2024

During the investigation, it was reported that on 10/19/23, a staff person was “shadow boxing” (pretend fighting) with Resident 1. Resident 1 then went to Resident 2 and hit him in the face. Resident 2 fell backwards and sustained an abrasion to the back of his head. Staff heard the altercation and went to the residents and separated them. Staff called emergency services and Resident 2 was sent to the hospital. While at the hospital, the resident’s abrasion was addressed and within a few hours he was sent back to the facility. The staff person that was shadow boxing was terminated from her position. Based on investigation observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated . California Code of Regulations, (Title 22), is cited on the attached LIC 9099D. Appeal Rights were explained and provided to the facility representative listed above and an exit interview was conducted. If any of the cited deficiencies are not corrected by the noted due date, civil penalties may be assessed.