Complaint Investigation Report

LPA De Leon watched video surveillance of an incident between Staff 1 (S1) and Resident 1 (R1) on 08/12/2025 which showed S1 grab the chair R1 was sitting in at the kitchen table, turn it around in an unsafe manner and tilt it forward to get R1 to get up out of chair, R1 was a bit unstable S1 grabbed towards R1 once R1 was stable at the table R1 grabbed more food off of R1’s plate. S1 grabbed R1’s arm and shoved R1 towards the doorway leading to the front door, R1 was still chewing R1`s food as R1 was going out the front door of the facility. LPA reviewed S1’s disciplinary file and R1 had been put on administrative leave on 07/21/2025 accused of pushing of a resident in care, Community Care Licensing conducted and cited on a case management visit for S1 pushing R1 on 07/31/2025. S1 returned to work on 08/02/2025 and worked up till 08/12/2025 when this complaint was filed and S1 was terminated from employment with the company on 08/15/2025 for violating a clients rights. Based on the evidence this allegation is deemed Substantiated at this time.

On the allegation: Staff had inappropriate interaction with resident. LPA De Leon watched video surveillance of an incident between Staff 1 (S1) and Resident 1 (R1) on 08/12/2025 which showed S1 grab the chair R1 was sitting in at the kitchen table, turn chair around in an unsafe manner and then tilted it forward to get R1 to get up out of chair, R1 was a bit unstable at first and S1 grabbed towards R1, once R1 was stable at the table R1 grabbed more food off of R1’s plate. S1 grabbed R1’s arm and shoved R1 towards the doorway leading to the front door, R1 was still chewing R1`s food as R1 was going out the front door of the facility. R1 has a 1 on 1 care and no staff was with R1 out on the front patio even with R1 still chewing food as R1 was walking out the front door. S1 took R1’s plate and cup to the kitchen sink. Staff interviews revealed R1 does take longer to eat as R1’s food must be chopped up and R1 is not able to always pick up smaller pieces with R1’s hands which causes R1 to take a little longer eating. Witness 1 (W1) interview revealed it was told to W1 that S1 belittled R1 after having an accident and shoved R1 into the shower. Based on the evidence this allegation is deemed Substantiated at this time.

The Administrator was informed that additional civil penalties might be assessed based on Health and Safety Code 1548((f)(1)(A).

Exit interview conducted, deficiencies cited, civil penalty assessed, copy of report and appeal right printed for Administrator.