Complaint Investigation Report

Two days after admission, on August 28, 2024, C1 experienced a mental health crisis incident at the facility that required staff to activate 911 to request emergency personnel dispatchers and first responders. C1 was assessed and considered a danger to themselves and/or others and was transported on a 5150 hold (California's Welfare and Institutions Code allows for the involuntary psychiatric detention of an adult for up to 72 hours). Based on the review of the details of the LIC624 incident report submitted to CCL disclosed no violations against Title 22 regulations. Staff properly followed C1’s service care plan which included proposed de-escalation strategies for physical aggression, self-injurious behavior, and property destruction. In addition, facility staff completed reporting requirements as required by Title 22 regulations. During interviews with staff and outside sources, it was disclosed that C1’s reporting party/conservator did not authorize C1 to be discharged back to the facility from the hospital due to safety concerns. C1’s placement agency and conservator determined that a higher level of care facility was required to meet C1's needs.

Based on LPA's interviews, observations, and records reviews there was insufficient corroborating evidence to support that facility staff issued an unlawful eviction to C1. Therefore, the unlawful eviction allegation is unsubstantiated.

No violations were issued during today’s visit.

An exit interview was conducted with Caregiver, Desiree Castro, to whom a copy of this report, LIC811 Confidential Name list, and the Licensee/Appeal Rights (LIC 9058 3/22) were provided at the conclusion of the visit.