Complaint Investigation Report

During interview with Staff 1 (S1) it was stated that C1 did have bruises. S1 explained that C1 received the bruises from self-injurious behaviors and staff observed the bruises on November 6, 2023, when C1 was directed to shower. Staff immediately notified S1. S1 then scheduled an urgent doctor’s appointment for C1’s foot and bruises for November 8, 2023. S1 also contacted C1’s psychiatrist and conservator. LPA also interviewed a witness (W1) from C1’s day program. W1 stated that C1 was having behavioral problems even though a 1:1 was appointed.

During record review LPA reviewed incident reports dated November 7, 2023, November 13, 2023, and after visit summary from Sutter Health dated November 12, 2023. Incident report dated November 13, 2023, indicated that Antioch Police Department (APD) visited the facility investigating a call received from C1’s family, but did not leave a card or report number. S1 have not heard anything further from APD All three documents indicated that C1 had bruises, none of which was caused by another person. Review of C1’s Individual Service Plan (ISP) dated September 2023, indicated that C1’s self-injurious behaviors had increased. C1 no longer resided at the facility as of November 11, 2023.

Based on the investigations conducted the above allegation is unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted and a copy of this report provided.