Facility Evaluation Report

Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to conduct a case management visit and gather information/records regarding an incident which occurred on 04/11/2026 and self reported by the facility on 4/13/2026 that involved staff S1 and resident R1. LPA met with Alka Ralh, Administrator-in-Training, took her statement and requested records for Community Care Licensing to review incident.

Alka Ralh stated that the incident of S1 improperly blocking/grabbing the arm of R1 from exiting the Memory Care Unit was captured on video. Staff S2 assessed R1 and found visible bruising and notified administration. LPA requested a copy of video evidence regarding the incident, which will be reviewed. Facility suspended staff S1 immediately after the incident and was discharged on 04/15/2026 due to inappropriate behavior towards a resident. The Department will continue the investigation, review video of the incident and conduct interviews. LPA will return at a later date to discuss findings.

Exit interview was conducted with Administrator-In-Training. Copy of report left with Alka Ralh.