Complaint Investigation Report

Department interviews with Facility Assistant Director revealed that it was reported to the facility that C1 sustained a large bruise on the right thigh in December 2024. The source of the injury is unknown. C1 no longer attends the program. The manager further described C1 as an older person who wore long pants and long-sleeve shirts, used a urinal while seated in a wheelchair, and had a colostomy bag. The manager explained staff would not have placed C1 on a table for changing and emphasized that the bruising is unexplained. Department records from SDRC IPP May 16, 2023 confirms colostomy bag, non-ambulatory status and walking is difficult therefore a urinal is recommended. As well as an aspirin regiment.

LPA interviewed various outside sources, including outside caregivers, family members, and former employees. All reported no concerns regarding incontinence care or unexplained injuries related to the facility. Outside sources confirmed clients appear clean, healthy, and appropriately cared for upon arrival after attending the day program. LPA also reviewed program procedures as well as staff interviews, which indicate safe handling of clients as well as proper transfer practices.

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 Assistant Director Felise Dulay , whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 03/22).