Complaint Investigation Report

It was alleged that a staff member yelled at a client during a visit to the physician. Staff interviewed stated that S2 and S3 took C1 and C2 to the physician on 9/1/21. C1 was having behaviors including destruction of property and shoving and needed to be redirected. However, administrator and staff denied the allegation that a staff member yelled at the client. All staff interviewed stated that they have been trained on clients' personal rights and have not witnessed or participated in yelling at clients while in care.

It was alleged that a staff member mishandled a client by swinging the client, forcing the client to sit down in the chair during a visit to the physician. During the visit to the physician on 9/1/21, staff interviewed stated that C1 was having behaviors including destruction of property and shoving and needed to be redirected. However, administrator and staff denied the allegation that a staff member mishandled the client. Staff stated that there was no physical contact with C1, only blocking C1 from grabbing objects or touching others. During one attempt, C1 tried to grab an object and slipped and fell, resulting in a laceration on C1’s eye. The incident report dated 9/1/21 stated that C1 obtained bruising on the right eyelid, and the physician’s visit summary stated that C1 was referred to the emergency room due to the laceration. Staff interviewed stated that they have been trained on clients' personal rights and have not witnessed or participated in mishandling clients while in care.

It was alleged that a staff member threatened a client during a visit to the physician. During the visit to the physician on 9/1/21, staff interviewed stated that C1 was having behaviors including destruction of property and shoving and needed to be redirected. However, administrator and staff denied the allegation that a staff member threatened the client. Staff interviewed stated that they have been trained on clients' personal rights and have not witnessed or participated in threatening clients while in care. The findings from the investigation from San Gabriel Pomona Regional Center also reveal unsubstantiated findings for the allegations, stating lack of evidence due to the fact that only male caregivers accompanied the clients to the physician and that no police investigation was conducted.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

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