The complaint alleged that on 08/31/26, facility staff engaged in a verbal altercation in the presence of resident #1 (R1). On 09/03/2026, the LPA Richard interviewed the Administrator (A1) by phone regarding the altercation in the presence of the resident. A1 denied the allegation and stated that the Witness (W1) was the one engaging in the verbal altercation inside the room, and W1 then pushed A2 against the door, where A2 almost fell. The staff called 911. On the same day, the LPA interviewed the Administrator (A2), who stated that around 5:30 pm, A2 arrived at the facility and asked W1 about the medications that were not given; W1 started to yell, pushed A2 against the door, and A2 almost fell. Staff then called the police, who arrested W1 and removed W1 from the facility.

At the same time, the LPA interviewed three staff members (S1-S3), who stated that staff do not engage in a verbal altercation when a resident has a guest in their room. They also stated that W1 comes to the facility every day, but staff are not to enter inside R1's room unless it is time for R1's medications. LPA interviewed three residents (R2-R4), who all denied that staff would engage in a verbal altercation in their presence. The staff is very considerate. Additionally, LPA interviewed a family member witness (W2), who denied the allegation and stated that staff treats R1's guest and R1 with respect. W2 also stated that staff goes above and beyond to help R1 with all of R1's needs. LPA interviewed the (LTCO), who stated that (LTCO) does not have permission to discuss R1 with LPA, but R1 was okay.

Report continued on LIC9099C

During the investigation, LPA could not find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur; therefore, the allegation is unsubstantiated.

Allegation #2: Staff did not dispense medications as prescribed.

The complaint alleged that staff did not dispense medications as prescribed when questioned about administering R1's medications correctly, and that staff called the police. On September 03, 2026, the LPA interviewed the Administrator (A2), who denied the allegation and stated that staff dispense residents' medications as prescribed by the doctor. A2 also stated that they called the police because the witness, W1, pushed A2 against the door, almost causing A2 to fall. After the police arrived, W1 was arrested for battery. At the same time, the LPA interviewed three staff members (S1-S3), all of whom denied the allegations and stated that medications are given to residents on time, as prescribed by the doctor, with the residents' names, dates of birth, doses, what time, and how often they are to be given. They also stated that they would not administer the wrong medications to R1, since R1's medications are organized in a bubble pack, making them easy to identify.

Report Continued on LIC9099C

On September 03, 2026, LPA reviewed the facility's Medication Administration Records (MARs) for resident R1 and found no discrepancies in the MARs or the Bubble Pack. LPA also reviewed the Los Angeles Police Department card (dated 08/31/2026) and confirmed that they were responding to a call involving battery and that the witness, W1, was arrested for battery.

During the investigation, LPA could not find evidence to support the allegation. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur; therefore, the allegation is unsubstantiated.

No deficiencies were cited.

An exit interview was conducted, and a copy of this report was provided to staff member Putri Rahayu.