Complaint Investigation Report

336426503-7-7-2023-18-AS-JDHS-CW5MXK-20230929100001

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1650 SPRUCE ST STE 200 MS29-27

This is an official report of an unannounced visit/investigation of a complaint received in our office on

03/10/2023 and conducted by Evaluator Venus Mixson

COMPLAINT CONTROL NUMBER: 18-AS-20230310080311

Staff sprayed water on face to Resident's face and additional Client.

On July 07, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived unannounced to the facility to deliver the allegation findings and conclude the investigation regarding the listed allegations.

LPA Mixson met with Administrator introduced herself and stated the purpose of the visit. LPA Mixson toured the facility currently in the facility there were four residents and three staff. There were no observable Title 22, Division 6, Regulation violations noted during the tour.

During this visit, LPA Mixson conducted additional staff and resident interviews, record reviews, and made observations pertaining to the listed allegations. LPA Mixson requested and obtained pertinent documents.

On 03/10/2023, Community Care Licensing (CCL), received information regarding the listed allegations. After the LPA's evaluation of staff and resident interviews, record reviews, and observations there was not a preponderance of the evidence strand to demonstrate that the listed allegations did or did not occur. The record reviews showed that R1 has a diagnosis of Prader Willi Syndrome, Intermittent explosive disorder, and Bipolar, Schizoeffective disorder. The records reviewed showed that there is a pattern of behaviors of this type and this is documented. Based on the interviews, record reviews, and observations, there was not sufficient evidence to prove that the listed allegations actually happened. Therefore, the allegation findings have been deemed "UNSUBSTANTIATED." A finding of unsubstantiated means that "although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur," therefore the allegation is unsubstantiated at this time.

An exit interview was conducted and a copy of this report was given to Administrator.