Complaint Investigation Report

S1 and S2 report not knowing if the incident was addressed to the Licensing Department as management controls incidents reports provided to the Licensing Department and Regional Center. An interview conducted with S3 and S4 reported that the incident was not reported to the licensing department as they did not believe the incident fell within reporting requirement as C1 did not sustain any visible injuries. Interviews with (4) four staff report that C1 did not sustain any visible injuries and C1 was assessed by a Registered Nurse who works at the facility. A records review conducted of C1’s Individual Service Plan and Individual Program Plan report that C1 is non-verbal. A records review conducted of C1’s physician report noted non-verbal under section "able to communicate". Interviews with staff corroborated that C1 was not transported to a medical office to confirm C1 did not sustain any internal injuries.

Based on records review and interviews, the allegation of staff did not follow reporting requirements is deemed substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid as the preponderance of the evidence standard has been met. A citation will be issued in accordance with Title 22, Division 6, Regulations.

An exit interview was conducted, and a copy of this report was provided, along with a copy of LIC9099C, LIC9099D, and Appeal Rights were provided to the Administrator.