Complaint Investigation Report

486803614-7-20-2023-21-AS-KMOA-CU6NNY-20230728103732

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

07/06/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20230706122209

Resident reported Physical Abuse while in care

Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. LPA met with TJ Ilagan and discussed the disposition. Complainant has alleged that R1 stated that a staff person (S1) physically attacked R1 over a 3 day period. The resulting investigation has included a review of pertinent documents and taking of statements from witnesses and involved parties. The following determinations are made: R1 has a medical diagnosis that makes R1's testimony unreliable; Staff who were present at the time of the 7/2/23 incident recall R1 in an agitated state, throwing furniture and destroying facility property; S1 held R1 in order to avoid injury to other residents and to R1until assistance arrived; During a subsequent interview, R1 stated that S1 did not hit R1 but did restrain R1 and did not report any other incidents of alleged physical abuse. Although the allegation may be valid or true, based on the documents reviewed and the statements taken, there is not a preponderance of evidence to prove the allegation is or, is not, true. Therefore, the allegation is UNSUBSTANTIATED.