Complaint Investigation Report

Additional records collected revealed that C1 was recently removed from their Day Program for continuous violent behaviors towards others. Interview with S1 established that C1 was continuously hitting and whipping S1 with a cell phone cord causing S1 multiple injuries. S1 stated that they were left with no choice but to restrain C1. S1 stated that during the incident both S1 and C1 fell to the ground and S1 was able to put their arms around C1, holding down both arms and hands and push C1’s mouth closed to prevent C1 from biting. According to staff, S1 held C1 for an period of time. S1 records reviewed reveal S1 did not have emergency intervention training.

During an interview with C1, C1 denied the incident. Interview with an outside source established that C1 has had an increase in aggressive behaviors over the last 12 months.

Based on staff and outside source interviews conducted and records reviewed a preponderance of evidence exists to support the allegation. A deficiency is cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). An exit interview was conducted with Administrator Krista Duvall , and a Plan of Correction was jointly developed. A copy of this report, LIC811, LIC 9099-C, LIC 9099-D, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided and , signature on this form confirms receipt of documents