Complaint Investigation Report

360902129-9-14-2023-56-AS-KCLS-CWHV7S-20231011161137

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN BERNARDINO , 1650 SPRUCE ST STE 200 MS29-27

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/12/2023 and conducted by Evaluator Magda Malcore

COMPLAINT CONTROL NUMBER: 56-AS-20230912135704

Staff violated resident's personal rights

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Melanie Niez, Administrator and discussed the purpose of the visit.

Regarding the allegation, staff violated resident's personal rights, Administrator Niez stated that Resident #1 (R1) was exhibiting aggressive behaviors toward theirself and others as a result law enforcement was contacted and R1 was placed on a 51/50 hold on 9/3/2023. Administrator Niez was informed by hospital staff that R1 was ready to be discharged to the facility. Administrator informed hospital staff that R1 is not permitted to return to the facility due to R1 being a danger to theirself and others.

Based on pertinent record review and interviews with relevant parties, the allegation is 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.

An exit interview was conducted where reports (LIC9099&LIC9099-D) were discussed and provided with appeal rights to the administrator at the conclusion of the visit.