Complaint Investigation Report

On the allegation Resident AWOL'ed while under care, during interview with the Staff 1 (S1) via telephone, it was stated that R1 had left the facility two (2) or three (3) months ago (unknown exact date). Staff was not able to find R1 and called the Pittsburg Police Department. S1 stated the Police Department found R1 and returned him unharmed to the facility. S1 also stated that an incident report was not submitted. Based on the investigation the above allegations are SUBSTANTIATED.

On the allegation Resident sustained black eye while under care. S1 stated during interview that she does not know how R1 got the black eye, R1 was possibly hit by his bedroom door. LPA inquired with the three (3) other staff that were present during the visit and all of them stated they were not working on the specific day and do not know how R1 got the black eye.

Based on LPA's interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Failure to submit proof of corrections (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. A copy of appeal rights and this report provided.