Complaint Investigation Report

Allegation: Staff does not prevent a client (C1) from harm while in care.

It was alleged that the facility allowed C1 to be out for extended the hours and when C1 returned, C1 had bruises and cuts. Reporting party further stated that C1 engages in self harm, often when C1 was with BF.

Review of records showed C1 can leave the facility unassisted and has history of self-harm. Four staff interviewed denied hurting C1. One of these staff stated C1 has history of self-harm but she has never observed C1 physically harming herself when C1 was at the facility and that C1 maybe self-harming when out in the community with BF. Two of the clients interviewed stated the staff are treating them good. Regional Center of East Bay (RCEB) Case Manager (CM2) confirmed C1 has history of cutting herself but the incidents happened when C1 was out in the community.

Allegation: Staff did not address a client's medical needs while in care.

Reporting party (RP1) stated R P1 supports C1's medical and mental health appointments and the facility was not been supportive with these, and C1 missed injection a couple of times. Reporting pary (RP2) reported that client (C4) has been complaining of a severe toothache when C4 moved-in and RCEB's Interdisciplinary Team has been working with the facility providing resources and even has offered to pay for any services given the client’s circumstance.

Review of C1's records showed C1 had injections and doctor's visits. S1 stated C1 missed appointments when C1 was out with BF but she made sure C1 has caught up with the vaccinations and dental appointments except for the front teeth. C1 didn't want to do to dental appointment for front teeth because C! didn't want to be put to sleep. C1 stated missing the appointments when C1 is out in the community.

Information was obtained from RCEB who stated that due to C4 lacking personal documents, providers won't provide service. RCEB was able to obtain the documents from C4's parents and service was eventually provided. C4 was interviewed who confirmed C4 was seen by a dentist and C4's teeth no longer hurt.