Senior Care Records.

Complaint Investigation Report

Divine Residential INC, Lake Elsinore05/23/2023Licence 331881143

Census2
Date signed05/23/2023 12:20:45 PM
The inspector’s account

C1 then went into the living room where S1 was sitting at desk with a computer. C1 to hit the computer, the computer fell down, and the LCD screen broke. After hitting the computer, C1 was attempting to attack another client. At this point, S1 called the police. The police came to the facility and separated the clients. C1 apologized to S1 and the clients for the behavior. C1 was calm after the police left the facility. During the interview with S1, S1 denied pushing and injuring C1. S1 stated that the clients were verbally asked to separate, and no physical contact was used. S1 stated that C1 lies and fabricates stories to seek attention.

During document review, LPA reviewed a special incident report sent to state licensing dated June 30th, 2022. The incident report details the same recollection of the incident that was reported in S1’s interview. LPA reviewed C1’s daily progress notes dated June 30th, 2022. C1’s note for this day details of the same recollection of the incident. LPA also reviewed C1’s Individual Program Plan (IPP) that states C1 has lying and attention seeking behaviors.

Based on the evidence found during the investigation, the allegation listed above is deemed UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report was discussed and provided to Caregiver Odiakachukwu Frank Nwonye, along with a copy of the appeal rights.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction