Complaint Investigation Report
Census5
Date signed03/18/2022 01:15:07 PM
On 5/22/2020, CCL received an incident report stating an incident occurred on 5/17/2020 between C1 and C2. C2 swung their arms at C1 and hit C1. The incident was reported to facility staff and to CCL. Although the incident report indicates C2’s responsible party was notified of the incident, it does not state C1’s responsible party was notified. C1’s responsible party stated they were not notified of this incident.
Exit interview conducted. Deficiency cited on 9099-D. Report issued via email. Appeal rights issued via email.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction