On 9/15/2020, Community Care Licensing Department (CCLD) received an incident report from the Administrator reporting alleged abuse on 9/12/2020 where at approximately 7pm Memory Care Resident one (R1) was being assisted by Staff one (S1) in the kitchen, R1 pushed S1 and S1 then swung and hit R1. Staff two (S2) and Staff three (S3) witnessed the event, S3 separated the S1 and R1, checked R1 for injury, and called Resident Care Director to come to the facility. Resident Care Director suspended S1 pending an internal investigation, assessed R1 for injury, no signs or symptoms were observed, and contacted Local Law Enforcement. The Administrator conducted an internal investigation by interviewing several staff. The investigation resulted in voluntary separation of S1 on 9/15/2020. On 9/15/2020, LPA made a telephone call to the Administrator, requested and reviewed documents sent by the Administrator including SOC 341, LIC 500, Police Report, witness statements, and employee separation agreement. On 9/23/2020 LPA conducted an unannounced tele-visit via facetime with Resident Care Director, LPA interviewed Resident Care Director and requested to observe R1. R1 did not remember the incident declined to show LPA his shoulder and back area but stated he was not in any pain in those areas. Resident Care Director stated confirmation of the incident reported on the police report, SOC 341 and SIR. LPA requested and reviewed R1's physician's report and daily skin check records where R1’s diagnosis of Dementia was documented to support R1 not remembering the incident during LPA interview and no evidence of injury was reported. On 9/23/2020, LPA interviewed S1 and S2 to confirm the incident and noted discrepancies with the timeline documented in the written statement of the Administrator. Based on LPA’s records and statements reviewed and interviews with Resident Care Director, S1 and S2 the incident of abuse to R1 from S1 supports the deficiency cited.