Complaint Investigation Report

6/7/24, 8/3/24) In-Service Training (Dated: 4/22/24-1/14/25), Physicians Reports (Dated: 03/06/25, 4/2/25, 4/3/24, 4/4/24), and Personnel Records were obtained from the facility.

This complaint was referred to the California Department of Social Services Investigation Bureau for an assignment on 03/17/25. As a part of the investigation, the department obtained the following records from Integrated Life Day Program: Face Sheet and Unusual Incident/Injury Report and interviewed witness (W1) and client (C1) on 03/25/25 and 04/03/25.

Allegation- Staff physically abused residents.

It is alleged that clients have been physically abused by staff on multiple occasions while living at the facility. On 03/20/25, 03/25/25, 04/03/25, and 04/17/25 the department interviewed staff (S1-S6), witness (W1), and clients (C1-C3). 2 of 6 staff corroborated the allegation that the Staff physically abused residents, while one (1) staff refused to participate in the interview process and three (3) had no knowledge of abuse. Two staff that were interviewed stated that a member of staff pushed a client to the floor because that client was getting into their private belongings and the staff member was upset about it. Staff further state that this was the only incident that they had knowledge of in the facility, while one staff stated they witnessed the incident. The department also interviewed witness (W1) about the allegation, and they stated they had no knowledge of the incident.

The department interviewed clients (C1-C3) about the allegation and 1 of 3 clients denied the allegation, while two clients were unable to participate in the investigation due cognitive difficulties.

The department reviewed Client Development & Evaluation Reports (Dated: 11/29/23, 2/27/24, 3/21/24), Appraisal/Needs Service Plan (Dated: 04/01/24, 04/07/24), and Incident Reports (Dated: 1/2/25,1/18/24, 03/22/24, 4/2/25, 4/15/24, 5/5/24, 6/8/24, 6/7/24, 8/3/24) and observed a documented report of physical abuse against a client at the facility.

Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met. Therefore, the above allegation: Staff physically abused residents, is found to be Substantiated . California Code of Regulations, Title 22, Division (6) and chapter (1) are being cited on the attached LIC 9099D. Plan of corrections due date is 05/09/2025.

Note: *Citations not cleared by the due date will have a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared.

Deficiencies are issued and plans of corrections were discussed.

An exit interview was conducted with Stephanie Smith, Administrator, and a hard copy of this Complaint Investigation Report and appeal rights were provided.