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32 | Previous residents who may have had relevant information were unavailable for interview because they no longer reside at the facility. The two (2) current residents reported that they had never been threatened by facility staff. Based on the information obtained during the investigation: interviews, review of facility documentation, R1 unavailable for interview, the RP unable to provide a specific date or time frame for the alleged incident, and lack of witnesses, there is insufficient evidence to establish that facility staff threatened R1. Therefore, the allegation that staff threatened resident is determined to be Unsubstantiated at this time.
Allegation # 3: Staff yelled at resident. To investigate the allegation, on 09/10/2026, from 1:00 p.m. to 1:30 p.m., the Licensing Program Analyst (LPA) interviewed the Reporting Party (RP) to obtain information pertaining to the allegation. During today’s visit, from 9:30 a.m. to 12:30 p.m., LPA interviewed the Administrator, caregiver, and two (2) of two (2) residents. LPA also obtained and reviewed resident and facility documentation.
It was alleged that staff yelled at Resident #1 (R1). The RP was unable to provide a specific date or time frame when R1 was allegedly yelled at by staff. Records reviewed by LPA indicated that R1 was admitted to the facility on 01/15/2026 and was reported to exhibit signs of mental health concerns. On 02/03/2026, facility staff contacted a mobile crisis safety team to evaluate R1.
LPA was unable to interview R1 regarding the allegation due to R1’s current location and a language barrier. The Administrator and caregiver denied yelling at R1. Interviews with the two (2) current residents did not corroborate the allegation. Both residents were recently admitted to the facility and therefore did not have information regarding the alleged incident involving R1. Previous residents who may have had relevant information were unavailable for interview because they no longer reside at the facility. The two (2) current residents reported that they had never been yelled at by facility staff.
Based on the information obtained during the investigation: interviews, review of facility documentation, R1 unavailable for interview, the RP unable to provide a specific date or time frame for the alleged incident, and lack of witnesses, there is insufficient evidence to establish that facility staff yelled at R1. Therefore, the allegation is determined to be Unsubstantiated at this time.
Exit interview and copy of report provided to staff.
(LIC9099C -- page 3)
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