Complaint Investigation Report

On 11/10/21 C1's fall resulted in bruising to the left side of his head and the left side of their body. C1 sustained two falls on 11/11/21 which resulted in bruising to right shoulder and the left side of their head. On 11/12/21 C1 fell and hit their head which resulted in a red mark on their left side of their head. C1 was sent to the hospital because they were very agitated and staff did not want C1 to further injure themselves with additional falls.

The LPA interviewed C1, however, when asked about the bruising and the falls, C1 responded that they did not know. A review of C1's Individual Placement Plan (IPP) indicates C1 has no safety awareness and requires supervision at all times to prevent injury/harm. An interview with Client 2 (C2) did not yield any pertinent information due to C2 being non-verbal. The LPA was not able to interview Client 3 (C3) due to being admitted to the hospital or Client 4 (C4) due to them being at their day program. The LPA was able to observe that C1 had bruises that appeared to be in the end stages of healing to the left and right sides of their head.

Based on LPAs observations and interviews, which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6) is being cited on the attached LIC9099D.

An exit interview was conducted where this report, 9099C, 9099D, LIC 811 and appeal rights were provided to April Panaligan.