Complaint Investigation Report

obtained from Administrator indicated that the ramp on the bus was placed securely on the ground and R1 exited the bus without incident, Administrator indicated that R1 did fall off his motorized, but away from the facility. Administrator stated R1 was leaving the facility and fell off his motorized scooter and the corner of the facility. Information obtained from staff interviews revealed that R1 had arrived back from an appointment transported by facility staff in the facility bus. R1 was assisted off the transportation bus safely by staff member. R1 was observed on their personal scooter traveling away from the facility when R1 fell off their scooter and hit their head. Staff indicated they contacted emergency personnel and remained with R1 until medical services arrived. It was advised that facility protocol for head injuries is to not move the resident, notify 911, and monitor until medical personnel arrive to assess the resident. Records were reviewed and revealed R1 was independent and was able to leave the facility unsupervised. Medical records pertaining to the incident revealed R1 sustained a head laceration and first- and second-degree burns and Emergency personnel reported R1 was found on the street corner of Catalina Way and San Pascual Ave and not on the facility property.

Based on staff interviews, emergency personnel reports, facility records, the allegation that staff caused injuries to a resident while in care is unsubstantiated. Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted with Cheree Escandel and a copy of this report along with LIC811- Confidential Names list was provided.