Complaint Investigation Report

Interviews with staff member (S1) and residents R1 and R2 indicated that they have witnessed staff speak in an inappropriate manner with R1. R1 stated that Administrator and staff member (S2) yelled at them. R1 stated that Administrator did not treat them with dignity and respect. R1 stated that there have been multiple incidents in which Administrator become “enraged.” R1 stated that Administrator has gotten in their face and screamed at the top of their lungs, causing spit to get on their face. R1 stated that they have cried all night because of the way they have been treated by Administrator. S1 stated that facility staff treated R1 “terribly.” S1 stated that they heard that S2 yelled at R1 to get out of the house. R2 stated that they heard staff talk inappropriately to R1 while their bedroom shared a wall with R1's bedroom. R2 stated that Administrator spoke inappropriately to R1 and did not treat R1 with dignity and respect. During interview conducted with Administrator, LPA observed a recording initiated by Administrator in which Administrator spoke to R1 on Saturday, September 27, 2025 at around 7:45 AM. LPA observed Administrator tell R1 that R1 "can stay and make it as miserable for everyone as [R1] wants to make it."

Based on interviews conducted and observations, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page.

Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.