Complaint Investigation Report

Interviews with staff confirmed that they witnessed R1 put the nail polish remover in their mouth and spit it out. Staff reported that they were not aware of where the nail polish came from. R1 reported that they put the nail polish remover in their mouth but did not know why. R1 could not explain where nail polish remover came from. Statements provided by R1 and staff, corroborated that there was nail polish remover (toxic chemical) onsite, accessible to residents in care.

The departments review of the available evidence revealed that the preponderance of evidence standard was met and the allegation was SUBSTANTIATED. A deficiency was cited per Title 22, Division 6, Chapter 8 of the California Code of Regulations and is listed on LIC 9099-D. A plan of corrections was developed with Sano.

An exit interview was conducted with Sano to whom a copy of this report and Licensee Appeal Rights (9058 01/16) were provided at the conclusion of the visit.