Complaint Investigation Report

Interviews revealed that during these visits, F1 would give R1 food that was a choking risk and would say things that would agitate R1. Interviews revealed that R1's responsible party did not want F1 to visit R1 at the facility and asked facility staff to deny F1 visitation. Interviews revealed that the Executive Director attempted to educate F1 regarding R1's dietary needs and agitation. Interviews revealed that in April 2023, F1 and their spouse visited R1 at the facility, became upset and started yelling at staff, and asked to leave by staff after verbally threatening facility staff. Interviews revealed that following the incident in April 2023, facility staff denied F1 visitation on at least one occasion. Interviews revealed that there is not a current restraining order or legal document denying F1 the ability to visit with R1.

The Department has investigated the above-mentioned allegation and based on interviews and record review, the preponderance of the evidence has been met, therefore, this allegation is deemed substantiated. The following deficiency is cited per CA Code of Regulations Title 22 and noted on the attached LIC9099-D page.

An exit interview was conducted with Executive Director Beebee Smith via phone and Program Specialist Jessica Flores, to whom a copy of this report and the Licensee Appeal Rights (LIC9058 01/16) were provided via hard copy.