Complaint Investigation Report
Census13
Date signed05/09/2023 01:32:23 PM
During the course of investigation, LPA conducted staff and client’s interview. C1 stated that one of the facility staff (S2) had an incident where staff (S2) pushed client (C1). C1 stated that there was no injury during this incident. Records review revealed the incident happened last February 24, 2023.
Deficiency is cited per Title 22 California Code of Regulations and listed on LIC9099D. Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.
Exit interview conducted. Appeal Rights and a copy of this report provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction