Complaint Investigation Report

During subsequent visit on 2/7/25 LPA obtained copies of relevant documents from Client #1's file, Interviews were conducted with 3 Staff and 3 Clients. LPA conducted interviews with Witness #1 (W1) on 2/12/25 via phone call, on 2/15/25 LPA delivered findings for the above-mentioned allegation, on 2/20/25 LPA delivered superseded report to facility with corrections.

The investigation revealed the following:

Allegation: Facility staff spoke inappropriately to resident(s)

It is alleged that Staff (S3) threatened C1, to not say anything or else they will be suffering the consequences. LPA interviewed 4 staff and 4 out of 4 staff denied the above allegation. S1 stated that there haven’t been any staff that have been written up for this type of behavior towards clients, S2 and S4 stated that they have never observed any staff including S3 be inappropriate toward clients. LPA interviewed S3 and staff denied the allegation and stated they have never threatened/intimidated/abused any of the clients. LPA interviewed 3 clients and 2 out of 3 clients confirmed the above allegation stating that S3 has threatened them and intentionally tries to scare them. LPA interviewed W1 and they also confirmed the above allegation stating they have seen S3 raise their hand towards C1 as if they were going to hit them, causing C1 to flinch and block their head. W1 stated that they have also overheard verbal abuse from S3 towards C1 on many occasions by S3 cursing at C1 and telling C1 if they had a bad day there will be problems.

Based on LPAs observations and interviews, the preponderance of evidence standard has been met, therefore the above allegations is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D. Exit interview held, and a copy of this report and appeal rights were provided.