Complaint Investigation Report

On April 23, 2025, the Department interviewed all clients in care (C1-C6), however they were not oriented or able to provide relevant details pertaining to the incident. Three staff members were also interviewed (S2-S4), all who denied that S1 would have slapped a client. On April 23, 2025, the Department interviewed the facility Administrator (ADM) who explained that staff don’t hit or yell at clients. ADM further explained that staff do have to elevate their voice at times to show authority and for the client to hear them. S1 denied hitting C1 and stated they have never hit a client. However, interviews with Outside Sources (OS1 and OS2) who were confirmed present at the time of the incident, corroborated that S1 raised their hand and hit C1 as the client was exiting their bedroom. OS1 reported they witnessed C1 leave their bed and walk into another room in the home. As they walked past S1, S1 raised their hand and hit C1. An additional witness (OS2) revealed they heard the slap and turned around. OS2 explained that they perceived S1 was upset that C1 left their room.

Based on interviews 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 1 is being cited on the attached LIC 9099D. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Staff, Lorna Rosales whose signature below confirms receipt of these rights. [See LIC 811 Confidential Names List to identify Client #1 and Staff #1]