Complaint Investigation Report

The investigation revealed the following:

Regarding the allegation "Staff did not provide adequate supervision resulting in resident engaging in a physical altercation with another resident causing injury," The investigation revealed that an altercation between clients happened inside client C1's bedroom. Interviews conducted indicated the following: Five out of five staff interviews indicate that facility has adequate staffing, staff S3 indicated that visual checks are conducted every four (4) hours in clients bedroom to ensure that clients are okay and that constant monitoring is conducted in the common areas. 8 out of 8 client interviewed indicate that there is adequate staffing, 7 out of 8 clients indicated that they felt safe living at the facility. Record reviews of clients C1 and C2's record indicate that they did not have histories of behavioral issues or that they needed for additional supervision.

Regarding the allegation "Staff did not provide adequate supervision resulting in resident engaging in a physical altercation with another resident causing injury," the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

No deficiencies were cited. An exit interview was conducted. A copy of this report was provided to the Administrator Mary Montiano.