Complaint Investigation Report

At about 1100 hours S1 entered into Resident’s #1 (R1) bedroom and begun to assault resident by punching R1 multiple times in the face and striking multiple times to R1’s chest and stomach. The licensee had followed S1 into R1’s bedroom where the licensee immediately intervened placing herself between R1 and S1. S1 shoved the licensee and punched her several times in the face and chest area while also knee thrusting the licensee in the abdomen. During this time, Resident #2 (R2) walked into the hallway where R2 was assaulted and slapped in the face several times by S1. S3 attempted to help R2 and was also slapped by S1. S1 walked outside the facility and staff called 911 while also locking the front door to keep S1 from re-entering the facility. Local law enforcement arrived on scene at about 1233 hours and arrested S1 without incident.

Staff and residents were attended to by medical professionals. As a result of S1’s behavior, the residents and staff suffered the following injuries: R1 sustained a small cut above the right eye and two black eyes, the licensee complained of pain in her back and head, S3 sustained a scratch on the right forearm.

S1 was arrested and charged with three counts of 368 (B) (1) PC- Cause Harm/Death of Elder /Dependent Adult (F), and one count of 243 (A) PC Battery on a person (M). In addition, S1 was provided a no contact notice and was removed from the staff roster.

Based on interviews which were conducted and records review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6 & Chapter 3) is being cited on the attached LIC 9099D).

A copy of this report, appeal rights, and 9099D was discussed and provided to the Licensee/ Administrator.