Complaint Investigation Report

374603818-9-13-2023-08-AS-DPOL-CX6KS8-20231101080908

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

09/07/2023 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20230907164125

Staff handled resident in a rough manner resulting in an injury.

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to initiate a complaint investigation regarding the above-mentioned allegations. LPA identified herself and met with Monica McDade, Program Adminstrator, to discuss the purpose of the visit and elements of the complaint.

It was alleged that staff handled resident in a rough manner resulting in an injury. The Department's investigation included interviews, review of pertinent records, and a review of the video recording of the incident. On Septemeber 6, 2023 Staff 1 (S1) grabbed Client 1 (C1) by the neck and also pinched C1 under the arm. Interviews revealed the staff nor the client did not make mention of the incident to Program Administrator. On September 8, 2023 the Behavior Consultant came to the facility to conduct their assessments. While doing so, C1 told them what happened two days prior. Once C1 made mention of what happened they called the Program Administrator and notified them of the situation. Interviews revealed once the Program Administrator was made aware of the incident they replayed the cameras and saw the video of the incident take place. On September 12, 2023 S1 was terminated by telephone.

An exit interview was conducted with Monica McDade, Program Administrator. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided and their signature on this report confirms receipt of the Licensee Rights.

**Civil penalties in the amount of $1000 are being assessed today during this visit for a repeat violation from 05/26/2023 **