Complaint Investigation Report

It was specifically alleged that on March 2, 2023, while C1 was visiting the facility, an incident occurred that caused C1 to become behaviorally aggressive. As a result, S1 communicated to C1 they would not be accepting C1’s admission into the facility, which significantly affected C1’s emotional state. C1 was known to staff to have behaviors of verbal outbursts linked to their cognitive disabilities. On this day, it was observed by witnesses that C1 was experiencing these typical behaviors. Multiple interviews with outside sources who witnessed the incident revealed that S1 made loud inappropriate statements and used verbally abusive language directed at C1. In addition, outside sources stated that S1 made derogatory statements about C1 when describing the incident to outside sources in the presence of C1 and another client in care.

S1 denied the allegation. Review of personnel records determined that S1 had received required initial training which included client’s personal rights.

We have found there is a preponderance of evidence to prove the alleged violation occurred and is therefore substantiated. Pursuant to the California Code of Regulations, Title 22, Division 6, deficiency is being cited on the attached LIC9099D and a plan of correction was jointly developed with Administrator.

An exit interview was conducted with House Manager, Lira, Administrator, Preece joined in via telephone; a copy of this report, Deficiency LIC9099D, LIC811 and Licensee 's Rights (LIC9058) were provided to House Manager, Lira.