Complaint Investigation Report

374603777-9-13-2022-18-AS-DMUN-CM9UEN-20221219143124

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 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

09/08/2022 and conducted by Evaluator Tricia Danielson

COMPLAINT CONTROL NUMBER: 18-AS-20220908164041

Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to initiate an investigation into the allegation listed above. LPA met with Caregiver Kurt Camalig and explained the purpose of today's visit. During today's visit, LPA toured room #6, interviewed two (2) staff, two (2) residents and attempted to interview Resident #1 (R1). R1 resides in room #6. Regarding the allegation "staff lock resident in room", it was alleged that staff lock R1 in their room in an effort to control their behaviors. Upon inspection of room #6, LPA observed a white colored, two-pronged latch attached to the outside of the door to room #6. The bottom prong can be engaged in such a way that it prevents the door handle from being manipulated from the inside and thus, preventing anyone from being able to exit the room from the inside. LPA interview with Staff #1(S1) revealed the facility does engage the latch at night to prevent R1 from being able to wonder into other rooms at night. S1 reported the latch is disengaged every morning. LPA observed the latch to be disengaged during today's visit. Based on LPA observations and interviews which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC 9099 D. An exit interview was conducted and a copy of this report was provided along with Appeal Rights and LIC811- Confidential Names List.