Complaint Investigation Report

Per Title 22 Regulations, Reporting Requirements, 87211(a)(1)(D), "(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following: (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event... (D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents..."

Review of Title 22 Regulations indicated that an incident should be reported to Community Care Licensing if the welfare, safety, or health of a resident is threatened by a staff member or other residents in the facility. Because the incident alleged in the complaint involved a resident hitting a staff member, this incident was not necessarily required to be reported to the Department.

Based on review and observation of Title 22 Regulations, this allegation is Unfounded. A finding of Unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Exit interview conducted. Copy of report discussed and provided to House Manager. Signature on form confirms receipt of documents.