Complaint Investigation Report

LPA Chan interviewed Staff who acknowledged that C1, who was admitted to the facility on 4/2/2024, was aggressive toward staff and was not on medications upon admission. The next day, C1 was placed on a hold by the law enforcement and was taken to the medical center due to physical violence. On 4/6/2024, C1 was ready for discharge, however, the facility did not take client back at that time. Staff stated that they requested for medication support to be provided to help stabilize the behaviors until client could be evaluated by the psychiatrist. The request was denied by the hospital. A Staff acknowledged that the hospital contacted the facility but they did not take client back the same day. Administrator mentioned that their reasons for not accepting the client was due to safety of others at the facility, no psychiatric medication upon discharge, and C1 was not evaluated by the psychiatrist while at the hospital. C1 later returned to the facility on 4/16/2024 and is still residing at this location. Per staff, C1 is doing better but continues to have behavior issues.

Based on interviews conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 1), are being cited on the attached LIC 9099D.

An exit interview was conducted. The Plan of Correction was reviewed and developed with the Administrator. A copy of this report and appeal rights were provided.