Complaint Investigation Report

The investigation revealed the following:

In regards to the allegation: “ Staff caused an injury to a resident in care. ” It is alleged that S1 pushed C1 against the wall that caused bruising to C1’s left arm , swollen shoulder, and elbow. (6) out of (6) staff interviewed denied the allegation. All staff interviewed stated that they never pushed anyone against the wall nor caused any bruising to C1 or any clients. S1 stated that on 10/30/2024, S1 arrived at the facility after receiving a report from S6 that C1 was experiencing a behavioral episode and was highly agitated. S1 indicated that C1 had blocked the door with items from his bedroom to stop staff from entering . Interviewed staff who were present during the incident revealed that they all attempted to verbally redirect C1 while respecting his personal space. As C1 exited his room, C1 tried to grab S6 and S1 intervened by positioning himself in front of C1. C1 then pushed S1 to clear his way and S1 hit the wall. Both S1 and C1 lost their balance and fell to the floor. Subsequently , C1 walked outside and sat in the porch area. At that moment , S1 continued to redirect C1 and when S4 arrived, he also attempted to redirect C1. Interviewed staff members stated that C1 did not sustain harm or injuries. (3) of (3) clients interviewed denied the allegation. Interviewed clients indicated that the staff treat them with respect, and they all feel safe at the facility. Clients also indicated that none of the staff had harmed or injured them or other clients in the facility. Based on files reviewed, Frank D. Lanterman Regional center had completed their investigation regarding this incident and determined the allegation to be unsubstantiated. Staff interviews, client interviews and reviewed documentation do not corroborate this allegation.