Complaint Investigation Report
R1 was throwing rocks at S1, so S1 stepped back, and was standing closer to the entry of the facility to avoid the rocks. Staff stated that R1 is not allowed to leave the facility without supervision. Due to this, there is always a staff member with R1.
During an interview with R1, R1 admitted that they were not outside alone. R1 stated they were outside with S1. R1 admitted they were throwing rocks at S1. R1 stated that they were closer to the street where the person driving by could not see S1. R1 asked the a person driving by if they would call 911. R1 admitted that they like to call 911, and they like to go the hospital.
During document review, LPA reviewed R1’s physician’s report dated 3/17/2023. The physicians report states that R1 cannot leave the facility unassisted. LPA reviewed Special Incident Report (SIR) sent to state licensing dated 3/20/23, SIR states that R1 walked to the street and staff followed R1, R1 refused redirection, and 911 was called by a person in car passing by the facility.
For allegation, Staff is not taking resident to doctor appointments:
During interviews with staff, staff denied not taking R1 to their doctors’ appointments. R1 had an appointment scheduled on 3/22/2023. R1 missed this appointment because R1 was not present at the facility from 3/21/20233 to 3/24/2023. R1 had a rescheduled appointment on 5/1/2023, but the appointment was cancelled by the doctor’s office. On 5/8/2023, R1 was seen by the doctor.
During an interview with R1, R1 stated that the facility takes R1 to their scheduled appointments. R1 could not remember missing a specific doctor’s appointment. R1 admitted that occasionally they make a decision to not go to their doctor appointments.
During document review, LPA reviewed emails between the facility and the doctor’s office discussing the reasoning for missing appointments, as well as attempts to reschedule R1’s appointments. LPA reviewed R1’s daily notes, the notes state that R1 was not present in the facility from 3/21/2023 to 3/24/2023.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction