Complaint Investigation Report

Interviews with staff revealed, staff try to ensure the client does not do anything, like awol, hit any other client, swallowing items and/or ingesting foreign objects, but the client did this recently without staff's knowledge. The client told staff that they swallowed some foreign objects. The Administrator, Sherri Lott, took the client to the emergency department; The client was admitted into the hospital for medical care needed on 12/26/23.

Per review of facility records, interviews with staff, and other parties, the staff didn't prevent the client from swallowing foreign objects, a nail, batteries, and a tack/pushpin; Staff that are said to be providing line of sight, close supervision, were not aware that the client had swallowed these items. There were four other clients in the home with C1 at the time of this incident. C1 told the Administrator of swallowing objects, this is when the client was assessed by staff, and then taken for a professional medical assessment at the Emergency Department .

Based on LPA interviews, and review of information obtained, the investigation has revealed that the allegation of staff did not prevent a resident from ingesting foreign objects , has been substantiated.

Due to the substantiation of the allegation, a citation will be cited today, 80078 (a) Responsibility for Providing Care and Supervision, The licensee shall provide care and supervision as necessary to meet the client's needs-see LIC9099D.

The preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited.

Exit interview conducted with RM Paula Sifflet.