complaint·October 19, 2023

The facility subsequently did an internal investigation into the above, followed facility personnel procedures, and took appropriate action. Although the facility took actions against S1, it has been found that S1 was physically and verbally abusive towards residents while employed at the facility. Based on interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. A finding of substantiated means that the preponderance of the evidence standard has been met. California Code of Regulations, Title 22, Division six and Chapter eight are being cited on the attached LIC 9099D. Regarding a resident physically assaulting another resident, staff reported observing a resident going towards another resident, however staff intervened, and no incident took place. There was talk of other residents being “assaulted” but LPA found no information about this, therefore cannot prove or disprove that any assaults actually occurred. Therefore, the allegation is unsubstantiated. Regarding staff not preventing residents from entering other residents’ rooms, LPA has spoken with staff, witnesses, etc. Based in interviews conducted, R1’s responsible party requested the R1’s bedroom door has the ability to be locked. It was reported that the door was unlocked the next day. It is not possible to say if the door was locked the previous night, who may have unlocked it, why, etc. The resident may have unlocked the door, which they certainly have the right to do. Staff are not able to constantly monitor the lock on one resident’s door to ascertain that it is always locked; and the resident has the right to lock or unlock their own door. The allegation is unsubstantiated. A finding that an allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred.