Complaint Investigation Report

Records indicate that there have been multiple incidents of C1 causing self-harm since 07/2025. Facility staff notified all required parties, including 911, responsible parties, North Bay Regional Center and Community Care Licensing. The facility has multiple safeguards in place to provide a safe environment for C1, including 15 minute safety checks and room and body checks (with the approval of client’s advocacy team), controlled access to items that may cause self-harm, mental health professionals providing therapy and a licensed nurse to supervise the monitoring of other health concerns. Care plan records indicate that the facility staff and specialists continually attempt to encourage and counsel C1 and provide 24 hour supervision. The facility has continued to work with C1, their responsible parties and the DDS/Regional Center Team to meet any arising needs of C1. Based on interviews, medical records, incident reports and facility documents the allegation that the Facility did not meet Client Care Needs is unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence to substantiate the allegation therefore the allegation is UNSUBSTANTIATED.