Complaint Investigation Report

The investigation revealed the following:

Regarding allegation: Facility is not reporting incidents to proper agencies.

It is alleged that following incidents that occurred at the facility were not reported to Licensing and to the Regional Center: On 4/10/22- C3 attempted to touch C1 in a "sensual" manner but C1's family and facility staff intervened and redirected C3. On 6/12/22, C3 attempted to kiss C1 on the cheek but C1's family and staff intervened and redirected C3. On 11/06/22, C3 attempted to approach C1 wearing only a towel and underwear, but C1's family and staff intervened and redirected C3. On 10/08/23, C1 was agitated and C3 approached C1 with closed fists, then proceeded to throw a shoe at C1 but C1's family and staff intervened and redirected C3. C2 reported to C1's family that C3 hit C2 on the nose which resulted in C2 needing surgery. On 3/03/24, C3 came out of C3's room with a toy in hand and attempted to throw the toy at C1, but staff intervened and redirected C3. Per interview with C1's placement agency, it was stated that the facility has reported said incidents to the placement agency. However, not all incidents are reportable, as incidents have not resulted in injury and have not endangered C1 in any way. C1's placement agency provided LPA copies of incident reports obtained from the facility. Staff have been able to intervene before the interactions occur without incident. Per staff interviews, (4) of (4) staff denied the incidents are not being reported to the proper agencies. Staff stated that all incidents are documented on consumer reports and client's responsible parties are also notified. Per interview with C1, C1 stated C3 threw a shoe once, but could not corroborate if the shoe was thrown at C1. C1 stated the shoe did not hit C1. C1 could not recall a date or time of the incident. (2) of (3) clients interviewed denied all other incidents occurred. (3) of (3) clients could not corroborate the allegation of incidents not being reported to proper agencies. Clients interviewed stated they get along well with their house mates. Clients also stated staff are nice to them and treat them good. After review of incident reports obtained from the facility and C1's placement agency, the facility has reported incidents to the Licensing agency that are within Reporting Requirements per California Code of Regulations,Title 22.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is Unsubstantiated.

Per California Code of Regulations, Title 22, Division 6, Chapter 1, Article 06, no deficiencies were cited during today's visit.

An exit interview was conducted and a copy of the report was provided.