Complaint Investigation Report

C1 stated that it was the wrong procedure to take in a behavior crisis and S1 was suspended immediately after the incident. Interview with S2 confirmed the allegation stating that S1 did push C1 against the wall. Based on information obtained the allegation deemed Substantiated at this time.

Allegation: Facility staff used client to assist with lifting another client

It was alleged that C1 assisted staff with lifting C2 during the night shift. It was revealed that there was only one staff working during the night shift. On 06/18/24 CCL received an incident report dated: 06/18/24 reporting C2’s fall. C2 fell on the floor, S4 was unable to lift C2 off the floor on their own and asked C1 for assistance. Interview with S2 confirmed the allegation and stated that they will schedule 2 staff on the night shift and hire new staff to meet clients’ needs. Based on document review and interviews the allegation deemed Substantiated at this time.

Allegation: Facility staff did not assist client with medical appointments as needed

It was alleged that facility staff asked C1 to reschedule medical appointments due to conflict with C2's medical appointments or day program hours. Interview with S3 denied the allegation. However, per staff, it was revealed that C1 gets agitated and refuses to use facility vehicle or transportation system when C2 uses the facility van for medical appointments or day program. Resulting in rescheduling the medical appointments for C2, instead of providing assistance with other means of transportation or resolving C1’ behavior. Based on information obtained the allegation deemed Substantiated at this time.

The deficiency was cited per CA Code of Regulations Title 22 – refer to the 9099D.

Other deficiencies were cited on 07/03/24 and remain the same

Exit interview conducted and appeal rights given and a copy of this report signed and delivered.