Complaint Investigation Report

This offer was made over one year ago based on interviews conducted, and the above incident continued to occur with staff and Administrator’s awareness. It was further revealed that staff are not assigned at night to monitor R1 and R2’s room despite staff knowledge of the above altercations. Interviews and record reviews additionally revealed that there are no documented efforts to further attempt prevention of the altercations, and to support any staff’s efforts including but not limited to: Additional supervision or consultation attempts.

As a result, there is a preponderance of evidence to conclude that staff have not made a satisfactory attempt to prevent a resident from repeatedly waking another resident, therefore, this allegation is SUBSTANTIATED. A citation issued under Title 22, Division 6, and noted on LIC 9099D. An exit interview was conducted with facility manager, and a copy of this report was provided. Appeal rights provided.