Complaint Investigation Report

C1 got upset that C2 was on the phone and went into the living room and tried to take the phone away and started to hit, kick and choke C2. Interviews revealed the staff was able to intervene and separated the two clients. Interviews revealed C1 moved away from staff, and grabbed C2 and bit C2 on the side of their face and on the neck. Interviews revealed there the bite marks were noticeable. Interviews revealed the paramedics were called and once they arrived they evaluated C2 for injuries and wanted them to go to the hospital so they transported C2 to the hospital for an evaluation and treatment. Interviews revealed C1 was removed from the facility by the sheriffs department the same day and was put on a 5150 hold for being a danger to others. C2 stayed at the hospital for one day and returned back to the facility.

Interviews revealed the other staff was running late on this day and once they arrived the emergency personnel had already left with C2 and C1 was in the back of the sheriffs car. The licensee and administrator both were called and the incident took place while the administrator was on the phone with the staff while C2 called 911.

There was supporting witness statements to substantiate staff did not provide adequate supervision resulting in residents engaging in a physical altercation while in care.

An exit interview was conducted with Licensee Carson Spivey. A copy of this report and the Licensee's Rights (LIC9058 03/22) were provided to Licensee at the end of the visit.