Complaint Investigation Report

Iris Street, Adelanto09/25/2023Licence 361880602

Census4
Date signed09/25/2023 01:41:50 PM
The inspector’s account

Allegation #2 “Staff pushed client resulting in a fall”. The allegation alleged that an unknown facility staff member shoved R1 so hard that they fell. LPA Nickolas' interview with the administrator revealed that they denied this allegation. LPA Nickolas' interview with S1 revealed that they denied this allegation. LPA Nickolas attempted to interview R1 and R2, but R1 and R2 could not participate in the interview process. LPA Nickolas' interview with R3 revealed that R3 could not confirm or deny this allegation. LPA Nickolas' interview with R4 revealed that R4 expressed no concerns about residing at the facility. The finding is Unsubstantiated. There is no evidence or witnesses to corroborate the allegation.

Allegation #3 “Staff forcibly pulled client's clothing”. The allegation alleged that an unknown facility staff member pulled R1’s clothing. LPA Nickolas' interview with the administrator revealed that they denied this allegation. LPA Nickolas' interview with S1 revealed that they denied this allegation. LPA Nickolas attempted to interview R1 and R2, but R1 and R2 could not participate in the interview process. LPA Nickolas' interview with R3 revealed that R3 could not confirm or deny this allegation. LPA Nickolas' interview with R4 revealed that R4 expressed no concerns about residing at the facility. The finding is Unsubstantiated. There is no evidence or witnesses to corroborate the allegation.

Allegation #4 “Staff attempted to kick client”. The allegation alleged that an unknown facility staff member lifted their leg as if they were attempting to kick R1. LPA Nickolas' interview with the administrator revealed that they denied this allegation. LPA Nickolas' interview with S1 revealed that they denied this allegation. LPA Nickolas attempted to interview R1 and R2, but R1 and R2 could not participate in the interview process. LPA Nickolas' interview with R3 revealed that R3 could not confirm or deny this allegation. LPA Nickolas' interview with R4 revealed that R4 expressed no concerns about residing at the facility. The finding is Unsubstantiated. There is no evidence or witnesses to corroborate the allegation.

A finding of Unsubstantiated means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted and copy of this report was provided.

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