Complaint Investigation Report

Staff interviewed observed the prior personal rights violations of S1, confirming R1 and R2 to be valid historians. 2 of 4 outside sources interviewed had knowledge of prior allegations against the staff in question, but did not have knowledge or observation of this incident. Resident interview revealed detailed information regarding the incident and R1 confirmed that there were no witnesses and they did not make anyone aware of the incident.

Records review showed that previous personal rights allegations were made against the staff in question, which was investigated and substantiated by the Department.

Based on interviews and records, the preponderance of evidence has been met, therefore the allegation is substantiated. Deficiencies are cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). A Plan of Correction was jointly developed with the Administrator. An exit interview was conducted with Siera Navasak, to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.