Complaint Investigation Report

Staff interviews disclosed that R1 has eloped from the facility several times. In November 2022, R3’s debit card was missing and P&I funds for residents was also missing. It was learned that an internal investigation was conducted at the facility and the facility terminated an employee who was responsible for the missing P&I funds. On 1/14/2023, R1 eloped from the facility because they were bored at the facility. The staff attempted to bring R1 back to the facility but was unable to because R1 went on a public bus. It was stated by staff that they notified the Licensee via telephone call and text but was unable to reach contact them. In addition, it was reported by staff that R1 and R2 consistently fight causing physical altercations between each other. It was reported that sometime in October 2022, R1 was found on top of R2 choking them on the neck. It was asked by the staff on shift to stop and was reported to the Licensee and Facility Designated Administrator. 6 out of 6 staff members state that when have an incident occur on their shift they were trained to provide a report to the Facility Designated Administrator or Licensee for review. 6 out of 6 staff members state that once an incident occurs they also provide phone calls to each of the Facility Designated Administrator or Licensee to notify them of what has happened.

An interview with the resident's service coordinator and facility Liaison from Valley Mountain Regional Center was conducted. It was confirmed through these interviews that they were unaware of this incident and was not reported. LPA Pascua also reviewed facility records and faxes that were received by the department. Based on the records reviewed the above incidents were not reported to the department. The last incident report that was received by the department was on 7/25/2022.

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. This allegation is substantiated however no licensing citation will be given for this allegation. This allegation was cited on a complaint report on 06/01/2023.

An exit interview was conducted, a copy of the 9099 and 9099-C was provided to the Facility Designated Administrator,Julian Hawes via email. An electronic email read receipt confirms receiving these documents.