Complaint Investigation Report

It was alleged that staff locked a client in a room while in care. Based on interviews and information gathered it was learned that R1 was upset after a phone call with their loved one and began to become aggressive toward staff. R1 went to the front of the facility where they took rocks from the facility driveway and began throwing them at the cars parked near by. Staff repeatedly asked R1 to stop and to come inside. After several minutes, R1 came inside and went straight into their room. It was denied by the staff that they locked the resident inside the room an interview with R1 was conducted. R1 confirmed that after they were throwing rocks at the cars outside they went into their room. It was stated by R1 that one staff member came over to their room and locked the door from the outside which did not allow for R1 to leave their room. R1 stated that it was stated by the staff member that they were locked in their room because their behavior was not acceptable. R1 asked to leave the room but staff did not allow them to leave. Based on the information gathered, it is clear that the staff locked a client in a room while in care.

Based on observations, review of records and information gathered through interviews, the above allegations were SUBSTANIATED meaning that there was a preponderance of evidence to prove that the allegations occurred as alleged.

The following deficiencies were cited per Title 22 Division 6 of the California Code of Regulations.

An exit interview was conducted with facility representative and a copy of this report was provided along with appeal rights.

The Facility Designated Administrator asked for all documentation to this visit to be sent to his email and did not sign any paperwork during the time of visit.