Complaint Investigation Report

Additionally, it was revealed through interviews and record reviews that although Licensee was aware of the above, no evidence exists which demonstrated a concrete plan to address R1’s behavior towards other clients for purposes of providing a comfortable environment prior to filing of this complaint, or LPA’s initial complaint visit on 8-6-2025. As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED.

Allegation: Staff did not prevent a resident from threatening other residents. LPA conducted interviews and record reviews as noted above. Based on these interviews and record reviews, it was revealed that on multiple occasions, R1 engaged in verbalizations of threats towards other residents in care. Additionally, it was revealed through interviews and record reviews that although Licensee was aware of the above, no evidence exists which demonstrated a concrete plan to address R1’s threats towards other clients for purposes of providing a comfortable environment prior to filing of this complaint, or LPA’s initial complaint visit on 8-6-2025. As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED.

As a result of this investigation, citations are issued under Title 22, Division 6 and noted on LIC 9099D. An exit interview was conducted with Licensee and a copy of this report was provided. Appeal rights and LIC 811 provided.