It was alleged that Witness 1 (W1) is contesting a 60-day eviction notice issued on February 4, 2026, for R1 a resident of El Cerrito Royale, on the basis that the behaviors cited are related to R1’s diagnosed medical condition rather than intentional misconduct. LPA conducted interviews with Staff 1 (S1), S2, S3, S4, S5, S6 and S7. All staff reported that R1 is verbally and physically abusive toward staff, uses profanity, and has threatened several staff members. S3 reported witnessing R1 strike a caregiver and then move toward S3 in an apparent attempt to hit them, at which time S3 moved out of the way. S1 stated that R1 struck S1 and directed racial slurs toward them. S2 reported witnessing R1 hit S1 and used offensive language toward S1 and S7. S5 and S6 reported observing R1 use of offensive language toward residents in the dining room. S6 further stated that R1 frequently accused S6 of removing R1’s name tag from the dining room table and that S6 has witnessed R1 removing the tag personally. Interviews with Resident 1 (R1), R2, R3, R4 revealed additional concerns. They reported that R1 is unpleasant to be around and regularly enters the lounge, closes the blinds, moves chairs, and attempts to direct other residents to follow R1’s commands. R4 shared a video of R1 standing near the office using offensive language toward office staff. R4 further stated that R1 then walked toward R4 to leave the area. R4 stated feeling almost threatened by R1. R2 reported that R1 comes into the lounge, closes the blinds while residents are working on puzzles, and breaks up the puzzles that residents have assembled. R3 stated that R1 engages in disruptive behavior, such as coming into the room during signing group, moving chairs around, and attempting to make residents sit where R1 wants them to sit. R3 also stated that they try to avoid R1 as much as possible. LPA reviewed the eviction letter, and all required components were included in the eviction documentation. Therefore, the allegation is UNSUBSTANTIATED.

CONTINUE ON LIC9099C

ALLEGATION: Staff did not adequately address a change in residents’ condition

It was alleged that the licensee initiated the eviction process due to R1’s behavioral issues. W1 reported that R1 had a medication change on February 27, 2026 and requested that the facility allow a 30-day period to assess whether there was a change in R1’s condition. S3 reported that R1 did not have a medication change, but rather a time change, rather a time change, involving the same medication. Specifically, the medication schedule changed from 50mg at night to 25mg after lunch and 25mg at night. S3 also stated that they had not observed any changes in R1’s behavior. LPA conducted a record review of the MAR, which confirmed that there was modification to the time the medication was administered, while the medication itself remained the same. Therefore, the allegation is UNSUBSTANTIATED.

Although the above allegation may have happened or is valid, there is not a preponderance of evidence to prove it; therefore, the allegation is UNSUBSTANTIATED.

No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.