Complaint Investigation Report

Staff 1 (S1) (See LIC811 Confidential Names list), stated that Resident 1 (R1) and Resident 2 (R2) were supervised closely when they were in the same area as they do argue. On 11/16/21, around 7:00 p.m. R1 and two other residents were watching television. R2 was talking and the other residents asked R2 to be quiet, however R2 keep talking. R1 stated that R2 was "Coco" and R2 was upset at R1 and they argued. Staff redirected R2 to go to R2's room and watch television in the room. At approximately 7:05 p.m., Staff 2 (S2) went to assist another resident in their room and S1 went to empty the trash in the garage. S1 heard screams when entering back into the house. S1 saw both R1 and R2 holding each other's heads. S1 was able to separate R1 and R2. S1 noticed R1 had blood coming from R1's lip. R1's lip looked like R2 bit a part of R1's bottom lip. S1 and Staff 3 (S3) completed an assessment of R1 and R1 was taken to the emergency room for further assessment and evaluation. Staff applied first aid which stopped the bleeding and notified supervisors who arrived within five minutes and transported the R1 to the hospital for treatment. This investigation did not reveal the staff was negligent, as it appears staff responded appropriately and took R1 to the Hospital.

Outside source 1 (OS1) was interviewed and the facility made OS1 aware of the incident. OS1 stated that there has not been any concerns regarding proper supervision of resident by staff. OS1 has no concerns regarding the facility. Outside source 2 (OS2) was interviewed and OS2 stated that the facility followed the appropriate steps to report and provide care for the resident.

The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted with Josie Dizon, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 03/22).