Complaint Investigation Report

Staff interview and records review revealed that the incident was investigated internally, confirming that R1 experienced an acute symptom of physical aggression from a preexisting medical condition. Staff interviews and records review showed that staff documented the behavioral incident, assisted both residents with medical care, and notified resident physicians and the Responsible Parties timely. Outside sources interviewed stated that the facility had supervision concerns during the timeframe of the complaint allegation; however, no interviews or records corroborated that there was a lack of supervision at the time of the incident.

Based on interviews, observations and records review, a preponderance of evidence does not exist to prove that the alleged violation(s) occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Executive Director Stefanie Ancheta , to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.