Complaint Investigation Report

The investigation revealed the following: Regarding allegation “Staff assaulted resident resulting in fractures, ” it was reported that a possible assault by staff resulted in C1 obtaining bilateral nasal fractures and a left maxillary central right lateral incisor avulsion. Based on file review and interviews conducted by the Department, there was insufficient evidence to prove that facility staff assaulted C1 which caused them to sustain nasal fractures and a laceration to the face while in care at the facility. C1 is nonverbal and was not able to answer the investigator’s questions. Interviews with S2, S4 and clients (C2-C3), they all stated they did not witness any physical abuse by S1 or any staff against C1 or any clients while in care. San Gabriel Regional Center Service Coordinators do not have a history of complaints against the facility or have cause for concern. S1 stated they walked into C1’s room and found C1 on the floor. S1 believed C1 tried to get out of bed, fell and hit their head on the night stand. Per Pomona Police Incident report, the investigating officer closed out the investigation as there was insufficient evidence to show any physical abuse occurred. Per Resident Physician at the Pomona Valley Hospital, it was possible that injuries sustained by C1 could have been caused by a fall from their bed and hitting their head on the night stand.

Based on interviews and record review, although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated .

An exit interview was conducted, and a copy of this report was provided to Bilikisu Jinadu, DSP