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13 | Licensing Program Analyst (LPA)Tiffany Holmes contacted the facility to deliver findings for a complaint investigation via tele-virtual. LPA identified herself to, and explained the purpose of the visit and the basic elements of the complaint with Maria Negrete, Administrator
LPA previously conducted interviews with residents, staff, and outside sources, made observations, and obtained and reviewed pertinent records. LPA conducted the initial visit on 11/13/2024, and conducted a tour of the facility.
It was alleged that the facility staff did not prevent physical altercations between residents. Interviews revealed on 10/31/24 the first altercation was between two clients and it occurred while everyone was eating. Client 1 (C1) pushed C2 and almost knocked them over. |