Complaint Investigation Report

Regarding Allegation: Facility staff failed to provide proper supervision resulting in client sustaining an injury.

The investigation revealed the following: Client #1 (V) was struck by Client #2 (P) on 12/31/2023 which resulted in Client #1 being taken to medical center for treatment. Client #1 injured area received stitches from the medical center and returned to the facility. Per Interviews conducted with staff 1 and 2, Client #2 head butted Client #1 quickly without reason or provocation, staff (S2) intervened immediately to redirect Client #2 (P) and provided basic first aid to Client #1(V) before transport to medical center. S1 revealed that during the time of this incident S3 was redirected to another facility to provide support as a female staff was needed to assist with a female client at an associated facility. Redirecting staff left the facility (subject of this complaint) short staffed. During this time period Client #1 sustained an injury requiring medical attention needing basic first aid from facility staff and medical attention requiring stitches.

Based on LPA observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED

California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.

Exit Interview conduct and a copy of the appeal rights were given.