Complaint Investigation Report

Per Staff #2, the phone started ringing and Staff#2 tried to go behind the counter and Resident #1 was blocking Staff #2. Staff #2 stated it never touched Resident #1, but when Staff #2 tried to go in the reception area Staff #2 stated Resident #5 attacked Staff #2. Video footage showed Staff #2 walking behind Resident #1 and doing hand gestures to Resident #1 to move away and go away from the area. The video shows Staff #2 does this repeatedly until Resident #1 moved to a corner by the entrance to the reception area . When the resident was in the corner, Staff #2 grabbed Resident #1 by the arm and shoved the resident away from the corner causing the resident to bump into a piece of furniture which appears to be a table/dresser with a vase of flowers on top. The table/dresser and flower vase fell towards Resident #1 and caused the resident to lose balance and walk backwards till the resident dropped on one knee. The video shows Resident #5 come and push Staff #2, two times, walking towards Staff #2 and causing Staff #2 to walk backwards. Staff #2 then grabbed Resident #4's walking cane and swung the cane towards Resident #5. Resident #5 grabbed it while the cane was aim at Resident #5 and took it away from Staff #2. Resident #4 stated that Staff #2 grabbed the cane in an attempt to hit Resident #5. Administrator stated the Glendale Police Department was contacted and a police report was filed.

Based on video observation and interviews conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Deficiencies cited under California Code of Regulations Title 22. Please see LIC 9099D

An exit Interview was conducted with the Administrator and a hardcopy was provided. Appeal Rights were provided.