The facility submitted reports of this incident to the Department on November 8, 2025. Per these records, on November 8, 2025 Resident #1 (R1) was walking down the hallway and crossed paths with Resident #2 (R2) and stuck R2 on her on the side of her face with an open hand. [See LIC811 Confidential Name List for a description of select person identifiers used in this report.] According to interviews and records, staff immediately conducted a body check of R2 and no visible marks were observed. Following the incident, staff redirected R1 who was subsequently transported to a hospital for further evaluation. Records and interviews indicated all appropriate parties for R1 and R2 were notified of this incident.

An interview with an Outside Source (OS1) familiar with the facility and residents did not report any concerns regarding staff lack of supervision. OS1 reported that staff are diligent in following R1’s behavioral plan and redirecting R1.

Based on observations, record reviews, and interviews with staff, clients, and outside sources, there was insufficient evidence to support the allegation that a lack of supervision resulted in R1 hitting R2. While the reported incident did occur, the evidence indicated that it was not due to a lack of supervision and that staff acted appropriately in accordance with facility protocol and with Title 22 regulations. The preponderance of evidence was not met; therefore, the allegation was deemed unsubstantiated.

An exit interview was conducted with Jojann Roberts, to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.