Complaint Investigation Report

The Department received video footage that corroborated the incident that occurred on, June 10, 2024, at 8:12 AM. The video footage revealed R1 and R2 in a physical altercation. Video footage depicted R2 punching R1 several times in the abdominal area and subsequently throwing R1 to the floor. Staff were summoned by a resident and assessed R1 and R2. A 911 call was initiated at 8:24 AM, and R1 was transported to a local hospital. Law enforcement was contacted and R2 was removed from the facility on a 5150-hold due to danger to others.

The Department has investigated the allegation that Neglect/Lack of Supervision resulted in serious bodily injuries and has found that based upon record review, video recordings, and interviews, the licensee did not conduct a reappraisal of R2 to determine if the facility was appropriate placement after R2 exhibited multiple aggressive behaviors towards staff and residents. Therefore, the preponderance of the evidence standard has been met and the allegation is deemed substantiated.

This deficiency is noted on the attached 9099-D and is cited in accordance with the California Code of Regulations, Title 22. An immediate $500 civil penalty was assessed, and a plan of correction was jointly formulated with Executive Director Mike McCoy. Per Health and Safety Code Section 1569.49, an additional civil penalty is under review by the Program Administrator of the Community Care Licensing Division.

An exit interview was conducted and a copy of this report, LIC 421IM, LIC 811, along with Licensee/Appeal Rights (LIC 9058 03/22) were provided to Mike McCoy at the conclusion of the visit.