Complaint Investigation Report

In regards to the allegation “staff caused injury to resident’s hand”.

It is alleged that Resident #1 (R1) had been taken via ambulance to the Hospital due to swallowing some screws. While at the Hospital, R1 also alleged that a facility staff member had tried to break their hand on 07/01/22. This allegation was investigated by Investigator Miles with the Investigations Branch. Victim, witnesses, and staff member interviews were conducted.

On 07/01/22 Staff #1 (S1) and Staff #2 (S2), performed two Crisis Prevention Interventions (CPI) on R1. Interviews conducted revealed that R1 complained about pain to his hand, however R1 was never transported to the hospital. S1 and S2 were also aware of R1’s pain to his hand, however, did not seek medical attention for R1. On 07/04/22, 3 days after the CPI’s were performed, R1 was transported to the Hospital for evaluation. Hospital took X-Rays and discovered a “spiral fracture of the right 1st metacarpal bone”.

An immediate $500 Civil Penalty is being issued during today’s visit for causing injury to a client in care.

At this time an Enhanced Civil Penalty (ECP) determination is pending in reference to Health and Safety Code 1548(f)(1)(A) and may be assessed at a later date.

Based on LPA's observations and interviews which were conducted and record review, 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.

Exit interview held and a copy of this report was provided along with appeal rights to Administrator Angela Williams .