Senior Care Records.

Complaint Investigation Report

Walters Residential Home Care 4, Stockton09/27/2023Licence 392701118

Census4
Date signed10/03/2023 05:29:08 PM
The inspector’s account

this facility on 04/25/2023. It was learned that S1 was the only facility staff person who went to pick up R1.

Based on interviews, it was learned that R1 became resistant to S1 when attempting to place R1 into the vehicle of S1. As a result, R1 and S1 fell onto the ground with S1 pinning R1 onto the ground in a form of restraint. It was learned that day program staff had to intervene in order for S1 to lift the restraint and allow R1 to return to an isolated exterior area.

S1 had to finally call the facility and request that another staff person come to the day program in order to deal with R1 and assist in directing R1 into S1's vehicle so that R1 could be removed from the day program and brought home.

As a result of this investigation, this LPA found the allegation to be SUBSTANTIATED - A finding that the complaint was Substantiated meant that the allegation was valid because the preponderance of the evidence standard had been met.

The following deficiencies were observed and cited on the following LIC 9099-D pursuant to Title 22 Rules and Regulations, Division 6 and Health and Safety Codes.

Appeal rights were printed and a copy was left with the facility designated Administrator at this time.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction