Complaint Investigation Report

Resident interviews were inconsistent when trying to recall the incident.. R1 had limited recall but stated R2 scratched them. R2 stated R1 initiated the altercation after being told not to touch R2’s lighter. R2 admitted to swinging back and believed their fingernail may have caused the injury. Outside sources were unaware of prior issues and described the incident as surprising. Records review confirmed staff response, hospital transport, and police involvement. R1 was relocated to a different floor post-incident to prevent further contact. LPA observations confirmed both residents remained at the facility after the incident with no further incidents. The smoking area has a partial divider but is not fully enclosed.

Based on interviews, direct LPA observations, and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred. Staff responded appropriately, and the incident appears to have been spontaneous and unforeseeable. Therefore, the allegation is UNSUBSTANTIATED.

An exit interview was conducted with Administrator/Assistant Executive Director Lane Hermosillo, to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.