Complaint Investigation Report

Interviews conducted and records review reflected that on 02/09/2024, at approx. 02:30am, S1 and Staff #2 (S2) were making their rounds and noticed R1’s room closed, and the lights were turned off. During the night R1’s room is typically slightly open with a light on. S1 entered the room and observed R1 to be agitated and informed S1 to check their bathroom. S1 opened the bathroom door and observed a houseless person sleeping on the bathroom floor. 911 was called immediately and came to the facility within 5 minutes. Police took houseless person into custody and exited the facility. During search of the body of the houseless person, police officers recovered a glasses case, a pair of reading glasses and a debit card with R1’s name on it. Interviews with staff further revealed the houseless person is a known trespasser in the surrounding area and they believe the person was able to enter the facility due to one of the exterior doors not being closed and monitored properly. Since this incident occurred the facility has established direct line of communication with local authorities for extra support and added additional staffing during the NOC shift to sufficiently monitor the property. No trespassing incidents have been reported since. Based on information gathered over the course of the investigation, the Department has sufficient evidence to determine the allegations occurred. Therefore, the allegations that “Staff did not prevent unknown individual from stealing resident’s personal belongings” and Staff did not prevent unknown individual from trespassing into facility premises” has been deemed Substantiated at this time.

Pursuant to the California Code of Regulations, Title 22, Division 6, Chapter 6, the following deficiencies were observed and cited (9099-D) during the visit.

Exit Interview Conducted / Appeal Rights discussed and a copy of this report has been issued.