Complaint Investigation Report

In regard to the allegation “Facility did not report incident to appropriate agencies in a timely manner”, It is alleged that staff failed to report incident that occurred on 11/04/2025 in a timely manner to required agencies. During interviews with Program Director, it was revealed that special incident report SIR and SOC 341 was faxed to Licensing, consumers home, ombudsman and regional center staff on 11/05/2025. Copies were provided at time of visit. LPA also obtained documents from case caring LPA Blanca Gonzalez that the facility faxed over special incident report SIR, and SOC 341 on 11/05/2025 7 pages included before visit.

In regard to the allegation “Staff did not prevent a resident from getting hair pulled”, It is alleged that S1 pulled C1’s hair while in van. During interviews with Program Director and staff two (2) out of four (4) staff stated that they did not witness any hair pulling of a client. Program Director stated that S1 has no prior write ups and has never been accused of pulling a client’s hair before. During interviews with clients’ four (4) out of four (4) clients stated that they have never had their hair pulled or ever witnessed a client getting their hair pulled by staff. Regional center investigated and found the allegations inconclusive.

Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted, and a copy of this report was provided.