Complaint Investigation Report
374604203-3-18-2024-08-AS-SJAB-D67QGY-20240613121018
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
SAN DIEGO RO , 7575 METROPOLITAN DR. #109
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/04/2024 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20240104143937
Licensing Program Analyst (LPA) Tiffany Holmes conducted a complaint visit to close out the investigation. LPA was greeted at the front door by Susana Maza, caregiver and was granted entry after identifying herself and disclosing the reason for her visit. Staff Sandra Campbell arrived during the visit.
It was alleged that the client had unexplained injuries. Interviews revealed there are no clients that have any unexplained injuries. Client 1 (C1) has a seizure disorder and usually falls when they are having a seizure if they are standing up. Interviews revealed that this can cause a bruise or two. Interviews revealed there were no complaints of staff hitting them or them observing staff hit a client. Interviews also revealed no staff verbally abused client(s). Interviews revealed that C1 has Self Injurious Behaviors(SIB) frequently and will usually hit or scratch themself. Interviews with outside sources stated they were aware of the bruise by C1s eye and it was not because of staff hitting the cleint, it was from the client and their SIB. The allegation of client had unexplained injuries is unsubstantiated.
An exit interview was conducted with Sandra Campbell A copy of t.his report and Licensee Appeal rights were provided at the conclusion of the visit
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction