Complaint·June 25, 2021

Licensing Program Analysts (LPAs) Ashley Smith, Salia Walker, and Martha Guzman-Chavez arrived unannounced for an initial complaint visit. The LPAs met with Cilva Toume and explained the reason for the visit. During the visit, the LPAs interviewed six residents from 9:35 a.m. – 10:45 a.m., and interviewed staff at 9:54 a.m., and 11:02 a.m., and 11:16 a.m. Also, the LPAs interviewed a family member for Resident #1 (R1) on 6/22/2021 at 5:05 pm. Regarding the allegation, it was alleged that individuals feel unsafe in the home because R1 yells, accuses people of stealing, attempts to hit staff, and has made threats. Interviews with staff and residents corroborated the claim that R1 yells, making accusations, and individuals have observed R1 attempting to hit staff. Out of the residents and staff interviewed, three persons confirmed that they either currently or have previously felt unsafe due to R1. Based on the information obtained, there is sufficient evidence to support the claim that the facility does not provide a safe environment for residents. This allegation is deemed Substantiated at this time. Deficiencies cited on 9099-D. Exit interview conducted. A copy of the report was provided.