Complaint Investigation Report

The records reviewed including the Individual Support Plan (ISP) and Behavior Intervention Plan (BIP), Individual Program Plan (IPP), document a history of the client engaging in self injurious behavior and false allegations. There is no evidence of staff hitting the resident contained in the Turlock Police Depart report. Based on the interviews conducted and the records reviewed the allegation of Staff hit resident is UNSUBSTANTIATED.

Facility did not notify resident's responsible party of a change in resident's condition

During the course of this investigation interviews were conducted with staff and records were reviewed including but not limited to the ISP, IPP, BIP, Medication Administration Records, Physician orders, weight records, staff charting notes, incident reports and email correspondence between staff and the Administrator. There appears to have been a change in medication on or around August 5 where there was an increase in anticonvulsant class of medication. There was no evidence found to suggest there was an associated change in condition. The records indicate that Resident 1 (R1) has attention seeking behaviors. 3 Staff members interviewed stated that R1's behaviors would change specifically in the presence of or when talking to their conservator. The records reviewed support an increase in maladaptive behavior around the responsible party. Based on records reviewed and interviews conducted the allegation of facility did not notify resident's responsible party of a change in resident's condition is UNSUBSTANTIATED.

Staff refused to talk to clients conservator

During the course of this investigation interviews were conducted with 5 staff members and 1 responsible party. An email communication exchange was also reviewed. The Administrator advised during the course of an interview that shortly prior to the date this complaint was reported he asked a responsible party to use email for all non-essential communication and to call for urgent matters. He states he sought to have communication in writing as safeguard against himself and his staff. 2 additional staff members interviewed advised that there had been false allegations made and that it had become problematic. LPA Jensen reviewed an email from the responsible party to the Administrator and notes the response time was 39 minutes. None of the staff interviewed stated that they were aware of any refusal of staff to communicate with a responsible party or conservator. Based on the records reviewed and the interviews conducted this allegation is UNSUBSTANTIATED.