Complaint Investigation Report

The investigation revealed the following: Regarding allegation: Resident is threatening other residents. It is alleged R1 tried to throw a bottle at R2 and that R1 was going to harm R2. Interviews with residents revealed 5 out of 8 residents interviewed stated to have observed residents get into verbal arguments and residents use threats toward other residents during those verbal arguments and staff have not intervene on such instances. 2 out of 8 residents have not observed residents involved in verbal arguments or residents threatening other residents. 1 out of 8 residents refused to be interview. Interviews with staff revealed 4 out of 5 staff interviewed have observed residents involved in verbal arguments but no threats have been heard. 1 out of 5 stated to have not observed residents get into any arguments. 5 out of 5 staff stated to intervene and/or notify the office staff when residents are observed engaging in arguments. Administrator stated steps are taken when such behaviors are not resolved after speaking with the residents. Documents reviewed revealed 8 out of 8 residents are ambulatory. 5 out of 8 residents required assistance with handling medication and 3 out of 8 residents handle their own medication. Medication sheets for the 5 residents receiving assistance show resident were taking their medications daily. Incident reports revealed, R1 went out to hospital on 11/17/21 and choose not to return to the facility and R2 went out to the hospital on 12/21/21 and R2's family decided that upon discharge R2 will move to a facility closer to family.

Based on LPA's observations, and interviews, conducted the preponderance of evidence standard has been

met, therefore the above allegation(s) are found Substantiated. California Code of Regulations Title 22,

Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

Exit interview was conducted with Maria Jacobo Administrator and a copy of this report, LIC 9099D, and appeal rights were provided.