Complaint Investigation Report

Responsible parties were notified, including the placement agency, about both incidents. After the second incident, all parties involved held meetings on 11/21/23 and 12/11/23 to discuss, address and follow up on the services provided to meet C1’s care needs, where it was agreed to implement a daily in-service schedule system, designated staff will assist C1 at the end of the day, pre-boarding check will be conducted by staff to ensure C1’s personal care support needs are met. Based on interviews conducted with witnesses and staff it was unclear to determine the specific moment that the incident happened due to the long ride time frame between Santa Rosa and Cloverdale commute that C1 travels every day. A finding that the complaint allegation staff left resident in soiled clothing is unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.