Complaint Investigation Report

C1 had a cataract(s) at the time they were trying to cross two lanes of traffic to get across the street. 911 was called by another driver who witnessed the client be hit by the vehicle. Per facility file reviews, there was no documentation regarding this incident and/or care plan regarding current needs of the client at the time of this incident or after incident.

The incident of C1 on 9/11/2020 was not reported per record reviews, and investigation; This deficiency will be cited on a case management report as it is not related to the complaint, see LIC809/809D, dated 4/4/2024.

Based on Department's interviews with staff, interviews with other related parties, review of records, and information obtained, the investigation has revealed that the allegation of "Severe neglect/lack of supervision" is substantiated. Due to the substantiation, a deficiency will be cited. 80078(a) Responsibility for Providing Care and Supervision The licensee shall provide care and supervision as necessary to meet the client's needs, see LIC9099D.

The preponderance of evidence standard has been met, therefore the allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 8), is being cited.

Failure to correct deficiencies by due dates, may result in additional deficiency citations and/or civil penalties being assessed.

Exit interview conducted with the Licensee/Administrator Tony Guevarra.

Appeal Rights Provided to the Administrator.