Complaint Investigation Report

12pm-1pm LPA conducted interviews with witness #1-3 (W1-W3), and on 4/26/25 at 2pm LPA conducted a tour of the facility. On 4/27/25 LPA received copies of crisis prevention intervention (CPI) training for facility staff. On 4/27/25 LPA conducted a review of C1’s file.

The investigation revealed the following:

Allegation: Client sustained an unexplained injury while in care.

It is being alleged that client arrived at class on 10/09/2024 with bruising and swelling to the face. On 4/26/25 from 9:00 am- 12pm LPA conducted Interview with L1 regarding the allegation above, L1 denied the allegation above. Per L1, C1 has accused L1 of abused in the past and the allegation was unfounded when investigated by the Inland regional center. On 4/26/25 from 9:00 am- 12pm LPA conducted Interviews with S1-S3 regarding the allegation above, 3 of 3 staff interviewed denied the allegation above and reported staff have not observed any bruising or injury to clients when conducting daily body checks. Per 3 of 3 staff, if any bruising or injury is observed on a client it is documented and reported to licensee right away. On 4/26/25 from 9:00 am- 12pm LPA conducted Interview with C1 regarding the allegation above, C1 denied the allegation above and stated C1 has reported being hit by facility staff when it was not true. On 4/26/25 LPA unable to conduct interviews with C2-C4 due to communication barrios. On 4/26/25 from 12pm-1pm LPA conducted interviews with W1-W3 regarding the allegation above, 3 of 3 witnessed interviewed denied the allegation above and reported not having any health or safety concerns with the care being provided at the facility. On 4/27/25 LPA conducted a review of C1’s Individual service plan dated: 07/19/24, per individual service plan C1 has self-injurious behaviors, current average is hitting head with hands, bangs head on floor, bites self, and hits windows.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted, and a copy of the report was provided.