Complaint Investigation Report
At today's visit interviews were conducted with Staff S2 and Resident's # R 2- R 4 from 930AM to 10:10 AM. Interviews with Staff S 2 and Resident's 2-4 were done telephonically with Licensing Program Analyst (LPA)
Nune Margaryan acting as translator in the Armenian language with R2-R 4 who were Armenian speaking.
Interviews with staff, residents, family member of Resident R 1 and video of the incident inside Resident R1's room.
In regards to the allegation Staff hit resident, video footage was obtained that shows Staff S 1 hitting R1 with a pillow and placing the pillow over the resident's head, calling the client an "asshole" and threatening the resident with physical restraints.
Video obtained by family member of R 1 who stated that the incidents occurred between May 3 and June 1, 2022.
Based on LPA's interviews and record review, the investigation revealed the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.
In regards to the allegation Staff covered resident's face, video footage was obtained that shows Staff S 1 hitting R1 with a pillow and placing the pillow over the resident's head, calling the client an "asshole" and threatening the resident with physical restraints.
Video obtained by family member of R 1 who stated that the incidents occurred between May 3 and June 1, 2022.
Based on LPA's interviews and record review, the investigation revealed the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.
In regards to the allegation Staff threatened resident with harm, video footage was obtained that shows Staff S 1 hitting R1 with a pillow and placing the pillow over the resident's head, calling the client an "asshole" and threatening the resident with physical restraints.
Video obtained by family member of R 1 who stated that the incidents occurred between May 3 and June 1, 2022.
Based on LPA's interviews and record review, the investigation revealed the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction