Complaint Investigation Report

LPA interviewed S1 at the facility. S1 stated that on the day of the incident, C2 had been drinking away from the facility. When C2 returned, they were extremely intoxicated, stumbling, and falling down. S1 reported that C2 became loud and confrontational with the administrator. S1 stated that C1 attempted to calm C2 by taking them to the patio area. Shortly after, C2 punched C1 in the face twice, causing several bumps on C1’s head. Facility staff called 911 immediately. Law enforcement interviewed both clients. While on scene, C2 assaulted a police officer and was arrested.

Based on interviews and information collected, C2 returned to the facility intoxicated and exhibiting aggressive behavior. Facility staff were aware that C2 was heavily intoxicated and unstable but did not take adequate steps to prevent C2 from having access to other clients. As a result, C2 was able to physically assault C1, causing visible injuries. Although staff eventually contacted 911 and cooperated with law enforcement, the facility did not ensure appropriate supervision or intervention to prevent the assault from occurring. This failure placed clients at risk of harm.

Based upon the foregoing, the above listed allegation is substantiated. This finding means that the preponderance of the evidence standard has been met and the allegation is valid. Deficiency is cited in accordance with California Code of Regulations, Title 22 and are noted on the attached LIC 9099-D.

An exit interview was conducted with Administrator Amanda Galindo and a copy of this report and Licensee/Appeal Rights (LIC9058, 3/22) were provided to Amanda Galindo whose signature below confirms receipt of documents.