Complaint Investigation Report

R2 responded by punching R1 back which lead for R1 to fall back and hit their head on an object. An interview with the Regional Center was conducted which confirmed this incident happening on 04/04/2023 LPA reviewed facility records of incident reports regarding R1 and R2 but was unable to obtain an incident report regarding any incidents between R1 and R2. 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 SUBSTANTIATED meaning that there was a preponderance of evidence to prove that the allegations occurred as alleged.

Allegation: Staff failed to provide resident’s authorized representative with an incident report.

It was alleged that staff failed to provide resident’s authorized representative with an incident report. Throughout the course of this investigation LPA conducted several interviews and reviewed facility records. Based on interviews conducted it was learned that R1 and R2 have been in several verbal and physical altercations throughout the months of November 2022-April 2023. It was reported that several verbal and physical altercations have not been reported to the regional center and their responsible parties. Interviewed conducted also revealed that the regional center and responsible parties would know of incidents through the residents who reside at the facility. LPA reviewed facility records and was unable to obtain multiple incident report regarding R1 and R2.

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

An immediate civil penalty in the amount of $250 was assessed for violations of Sections 80061(c). This civil penalty was due to a repeat violation. This facility was cited for this violation on 06/01/2023. The Facility Designated Administrator was informed that the civil penalty will continue to accrue $100 per day per violation until the deficiency is corrected.

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

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