Complaint Investigation Report

Allegation #2 “Staff speaks inappropriately to the resident”. LPA interviewed eight (8) clients, and all clients denied witnessing any facility staff speaking inappropriately to a client. LPA interviewed four (4) staff persons, and S4 stated that they witnessed S5 speaking inappropriately to C1. LPA was informed by the witness that S5 regularly yells or makes derogatory remarks toward C1. Interviews with clients revealed that no clients have witnessed “Staff speaks inappropriately to the resident”.

Allegation #3 “Staff confines resident to a couch”. LPA interviewed four (4) staff persons. Two (2) staff members reported that they witnessed S1 confine C2 to a couch. It was reported that S3 witnessed S1 sitting so close to C2 that their knees were touching. It was reported that S3 witnessed C3 attempting to get off the couch, and S1 prevented the client from moving”. It was further reported that S4 witnessed C2 getting off the couch and walking to the sliding glass door. S2 went to C2 and took the client back to the couch and pushed the client down on the couch as S1 stood at the sliding glass door watching. Interviews conducted with clients revealed that none of the clients witnessed the allegation "Staff confines resident to a couch”.

Based on interviews conducted, the above allegations are Substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation(s) is valid because the preponderance of the evidence standard has been met. California Code of Regulations (CCR), Title 22, Division 6 is cited on the attached LIC 9099D

An exit interview was conducted with Barracks and Wilson and a copy of this report was provided along with Appeal Rights.