Complaint Investigation Report
On 06/18/2024, LPA interviewed Staff# 8 - Staff# 10, requested a copy of the LIC 624: Unusual Incident Injury for R1-R2 (dated 12/21/2024) and staff schedule (December 2024).
The investigation revealed the following:
Allegation: Lack of supervision resulting in resident being assaulted by another resident while in care.
On 04/03/2025 between the hours of 12:18pm - 12:28pm, LPA interviewed the Administrator (A1), regarding the above allegation. A1 stated she was unaware of the allegation.
On 04/03/2025 between the time of 9:31am - 12:28pm, LPA interviewed Staff # 1 (S1)– Staff 6 (S6) and on 04/23/2025 between the hours of 9:21am – 9:38am, LPA interviewed Staff (7) regarding the allegation. On 06/18/2025, between the hours of 10:53am - 12:05pm, LPA interviewed Staff #8 (S8) - Staff #10 (S10) regarding the allegation.
3 out 10 staff interviewed confirmed an incident occurred between Resident #1 (R1) and Resident #2 (R2), but Staff had different various of the incident that occurred between R1 and R2.
7 out 10 staff interviewed had no knowledge of the incident that occurred between R1 and R2.
On 04/03/2025 between the hours 1:17pm - 2:26pm, LPA interviewed Resident #1(R1) – Resident #5 (R5).
On 04/03/2025 LPA attempted to interview Resident# 1 (R1) but due to the communication barriers, the resident was unable to answer interview questions.
On 04/03/2025 LPA attempted to interview Resident #2 (R2) who declined to be interviewed.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction