Senior Care Records.

Complaint Investigation Report

Palm Tree Residential Care Home #2, Oakland06/22/2023Licence 011405349

Census5
Date signed06/22/2023 02:25:03 PM
The inspector’s account

On the morning of 2/02/23, W1 observed R2 being kicked by a female facility staff person outside of the facility’s front door. The staff observed kicking R2 was later identified as S1. W1 reported the incident to her supervisor and an APS report was filed. When R2 arrived at his day program on 2/02/23 staff observed cuts and bruises to R2’s face and ear. The injuries were documented by day program staff (S2) in an SIR.

During the course of the investigation interviews with 3 of 6 residents (R4, R5 and R6) confirmed that they witnessed S1 using a yellow stick to hit R2 on multiple occasions. R4, R5 and R6 stated that S1 keeps the stick in her room at the facility under her bed. The stick was located by investigators in the room S1 uses as her sleeping quarters. The administrator verified that the stick belonged to S1. A photo of the stick was shown to R4, R5 and R6 who verified that was the stick S1 used to hit R2.

The Department has investigated the complaint alleging that client is being physically abused while in care resulting in bruises and scratches. The preponderance of evidence standard has been met; therefore, the above allegation is found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. A $500.00 immediate civil penalty is assessed on this day. Civil penalty determination related to serious bodily injury is pending.

Exit interview conducted, a copy of this report and appeal rights provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction