Complaint Investigation Report

During the investigative process, the administrator, regional center coordinator, six staff persons and the two residents involved were interviewed. In addition, various documents were obtained to include Physicians Reports, Individual Program Planning (IPP) and Admission Agreements.

During the interview process, it was reported that the resident (Resident 1) ripped the cupboard door off the cabinet, grabbed a knife and chased after a second resident (Resident 2). The knife was taken away; however, a second incident occurred in that resident 1 obtained the keys to the locked cabinet, opened the cabinet, grabbed a knife and chased after resident 2 a second time. The authorities were called and resident 1 was taken away on a “5150 hold” in that resident 1 was fully assessed for her mental health status.

Based on the evidence obtained, the preponderance of evidence standard has been met; therefore, the deficiency is found to be Substantiated . California Code of Regulations (Title 22) is being cited on the attached LIC 809D. Appeal rights were provided, and the exit interview conducted.

During the investigative process, the administrator, regional center coordinator, six staff persons and the two residents involved were interviewed. In addition, various documents were obtained to include Physicians Reports, Individual Program Planning (IPP) and Admission Agreements.

During the interview process, it was reported that the two residents involved, Resident 1 and Resident 2 are both involved in engaging in inappropriate behaviors and comments to include, making threatening remarks, using foul language and name calling, chasing, and at times, pushing hitting, spitting, pinching, and punching staff. Emergency services (911) have been called several times. The personal rights of both residents are being violated.