Complaint Investigation Report

It was reported that knives are accessible to clients in care, as it was alleged that Client 1 (C1), picked up a knife and held it up for approximately 10 minutes. Interviews conducted with former clients and staff revealed that Client 1 (C1) and Client 2 (C2) , observed a knife left out on the kitchen counter on one occasion during their stay at the facility. Interviews further revealed, C1 stood in front of the knife for approximately 5 to 10 minutes , while staff were observed having a conversation in the backyard. As staff reentered the facility, C1 and C2 exited the kitchen. During visits on 09/07/2021, 10/05/2021, and 04/20/2023, LPA did not observe any knives or sharp objects accessible to clients in care. Based on information obtained over the course of the investigation, the department has sufficient evidence to confirm this allegation occurred. Therefore, the allegation that knives are accessible to clients in care has been deemed Substantiated at this time.

Pursuant to CCR, Title 22, Division 6, Chapter 8, the following deficiencies are cited (Refer to LIC 9099-D).

Exit interview conducted. Citation issued. Appeal Rights discussed and copy of the report was issued.