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Complaint Investigation Report

Bradbourne, Duarte08/10/2022Licence 198603273

Census4
Date signed08/10/2022 04:30:52 PM
Name of licensing program analystElizabeth Ceniceros
Name of licensing program managerAraceli Ramirez
The inspector’s account

clients on a short-term basis (10-15 days). LPA/RA did not review records for Client #1 or Client #2 as they returned to their adult residential facility home after 10-days of isolation.

Regarding Allegation #1 : this investigation revealed that the facility served as a Surge Home for the regional center during the Coronavirus Disease 2019 (COVID-19). Client #1 arrived to the facility on 02/04/21 and returned to its home on 02/15/21. Interviews were conducted of facility staff; and, the majority indicated that when Client #1 arrived to the Surge Home, the client came without a cane or wheelchair. Facility staff noticed that Client #1 appeared to have scratched-up knees; but, as time went on, Client #1 would refuse to lay on its bed and preferred crawling on the floor; therefore, staff would have to lay down blankets on the floor for the client. S1 indicated that the facility purchased a wheelchair for Client #1; however, the client could not sit in the wheelchair and preferred crawling around on the floor. When staff would put Client #1 to bed, the client would jump from its bed onto the floor and land on both knees. Client #2 arrived to the facility on 02/04/21 and returned to its home on 02/15/21. Interviews were conducted of facility staff; and, the majority indicated that Client #2 had a blister like on its upper right arm, but no bruising or wounds. Staff indicated that the clients would receive a sponge bath during the P.M. shift and staff would have noticed if clients sustained serious injuries to its person; although, the facility served as a Surge Home for COVID-19.

Based on the evidence gathered and interviews conducted and records reviewed, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur; therefore, the allegation of NEGLECT/LACK OF SUPERVISION: Clients sustained injuries while in care is found to be UNSUBSTANTIATED.

An exit interview was conducted and a copy of the Complaint Report provided to Administrator (Joey Perez).

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction