Complaint Investigation Report

Community Integrated Support Services, Antioch03/14/2025Licence 079200012

Census22
Date signed03/14/2025 01:21:42 PM
The inspector’s account

during interview C1’s eye was swollen very little when C1 arrived form the day program, but the eye was swollen more the next day. W4 also stated the facility staff was told there was a little accident at the day program. Based on interview with S4 C1’s gait is a little off and while getting lunch at Panda Express C1 bumped into S5 but was caught before falling. S4 stated C1 stayed in the van with S4 during the outing at the park. S4 also stated C1 was fine when he arrived at the home. S5 stated at Panda Express while getting lunch C1 tripped, S5 caught C1, slowly lowered C1 to the floor, S4 and S5 then picked C1 up, checked C1 for injuries, and asked C1 was he in any pain. S5 stated C1 was fine. S5 then stated they all got into the van and went to the park to have lunch. S2 stated the day of the incident C1 was having bad allergies and pictures were taken due to C1’s eyes being swollen. S1 stated that C1 did not return to the day program until May 29, 2024. S1 stated the home sent pictures of C1’s eye to the day program on May 21/2024.

Based upon the interviews conducted and information obtained during investigation. The above allegations are 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.

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