Complaint Investigation Report

306004295-5-30-2023-22-AS-AORZ-CSCR8J-20230531124800

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 770 THE CITY DR., SUITE 7100

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

05/16/2023 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20230516134040

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegations. LPA was greeted and granted entry into the facility by Caregiver Paul Arcinas and explained the reason for the visit.

During the course of the investigation, LPA toured the facility and interviewed staff and clients. Regarding the allegation that facility staff hit residents, the investigation revealed the following. On 05/09/2023, facility reported Staff 3 threw a coloring book at Client 1 (C1) and hit the client in the face. Interviews conducted indicated C1 was hit on the eye lid with the book. No injuries were noted. Facility suspended S3 and facility administrator stated S3 would no longer be employed at the facility. Facility provided written proof of suspension to LPA and termination is pending. Based on the interviews conducted and the records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is deemed SUBSTANTIATED. A deficiency is being cited as per Title 22, Division 6, Chapter 1 of the California Code of Regulations. Exit interview conducted and a copy of this report was provided to facility representative as well as appeal rights.