Complaint Investigation Report

LPAs interviewed six (6) staff and five (5) of six (6) staff were able to corroborate the allegation. LPAs interviewed C1 and client stated that S5 was loud, and that C1 threw helmet at S5. On 02/14/2025, around 7:40PM S5 was preparing to administer medication when C1 asked for C1 medication. S5 told client that S5 will provide to client now. At the same time Client went to use restroom and S5 began to administer medication to other clients at facility. C1 came out of restroom and notice that S5 was administering medications to other clients and became irate due to not getting medication before the other clients and pushed the medication room door violently. C1 went back to C1 room and S5 followed and C1 then told S5 that C1 was going to kill S5 and S5 responded by yelling at C1 and telling C1 to do it, while standing by C1 door and telling C1 would go to jail. S5 was yelling and antagonizing C1 during this incident. S5 admitted to LPAs that S5 was yelling and inappropriate to C1 and stated S5 was regretful and stated S5 apologized to client. S5 last worked on 02/14/2025 and has since been terminated. There is sufficient evidence to substantiate this allegation.

Allegation: Staff threw object at resident, hitting resident. It is alleged that staff threw slipper at client during an argument and struck client in the back.

LPAs interviewed six (6) staff and five (5) of six (6) staff were able to corroborate the allegation. LPAs interviewed C1 and client stated that S5 was loud, and that client threw helmet at S5. On 02/14/2025, around 7:40PM S5 was preparing to administer medication when C1 asked for C1 medication. S5 told client that S5 will provide to C1 now. At the same time Client went to use restroom and S5 began to administer medication to other clients at facility. C1 came out of restroom and notice that S5 was administering medications to other clients and became irate due to not getting medication before the other clients and pushed the medication room door violently. C1 went to C1 room, and S5 followed. C1 told S5 that C1 was going to kill S5 and S5 responded by yelling at C1 and telling C1 to do it, while standing by C1 door and telling C1 would go to jail. S5 was yelling and antagonizing C1 during this incident. During the argument C1 threw C1 slipper at S5 and struck S5 on S5 face. S5 stated S5 pick up the slipper and threw it back at C1 and hit C1 in the back. S5 stated S5 regretted S5 action immediately and apologized to C1. S5 stated S5 was remorseful and understood S5 actions were wrong. There is sufficient evidence to substantiate this allegation.

Based on LPA's interviews and records reviewed, the preponderance of evidence standard has been met, therefore the allegations are found Substantiated. California Code of Regulations Title 22, Division 6, Chapter 1 are being cited on the attached LIC 9099D.