Complaint Investigation Report

197609743-10-11-2021-31-AS-EMIR-C8MRJ2-20211110120312

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD., STE. 250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

10/07/2021 and conducted by Evaluator Wendell Smith

COMPLAINT CONTROL NUMBER: 31-AS-20211007082852

Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced complaint visit to investigate the allegation above. LPA met with facility staff and explained the reason for this visit. LPA spoke with the administrator by telephone and explained the reason for this visit.

It is alleged that on an outing for lunch on 10/6/21 that client #1 (C1) was hit on the head by staff # 1(S1).

LPA conducted interviews with staff over the telephone and in person regarding this allegation from approximately 12:30-1:30 pm. LPA also called the location where the lunch outing took place and spoke with the manager regarding the allegation. Information obtained through interviews reveal that no one witnessed S1 hit C1 at all during the lunch outing. LPA also obtained a copy of the staff schedule for that day. LPA attempted to interview C1 but they would not understand what was being asked. Based on the information obtained through interviews this allegation is deemed Unsubstantiated at this time. Exit interview conducted.