Complaint Investigation Report

All witnesses interviewed stated that C1 and C2 have a history of shouting at each other and fighting. Per AD, the facility’s main measure taken to redirect altercations is to separate C1 and C2 after a fight. In this particular incident, C1 and C2 had begun shouting at each other and were separated by staff. However, C1 and C2 were still angry with each other when they ran into each other in the hallway shortly after. It was this point where C2 punched C1 in the face resulting in a back eye. Thus, the allegations that Client was punched in the face by another client and that Client sustained a black eye while in care are substantiated. During the inspection, AD stated they will train all care staff to provide 1 on 1 supervision to either C1 or C2 after a fight for as long as necessary until the clients calm down or make peace with each other. AD also stated they will continue to pursue additional solutions with the clients’ behavioral specialists and regional center, including relocation of one of the clients if necessary.

During the course of the investigation, Community Care Licensing obtained sufficient evidence to substantiate the allegations mentioned above. The preponderance of evidence standard has been met; therefore, the above allegations are substantiated. See LIC9099D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.