Complaint Investigation Report

On 05/02/2024, LPA and Tri-Counties Regional Center Quality Assurance Specialist (QAS) Liz Aced-Arnett conducted an initial visit to the facility. At approximately 9:43 a.m. LPA and QAS met with administrator Daniella Mosqueda. The administrator stated C1 stays on the crisis side of this facility and is assigned a one to one (1:1) staff 24 hours a day. C1 goes through cycles of behaviors and will target certain staff. Currently, C1 is targeting S1. C1 also has a history of self-injurious behavior where C1 will hit themselves and kick things, causing bruising and other injuries. C1 smokes cigarettes and staff must keep C1 on a schedule for smoke breaks to ensure C1 does not run out before C1 gets money to purchase more cigarettes. Limiting the cigarettes can sometimes lead to behaviors.

The administrator stated S1 works on the weekends, usually during the p.m. and NOC (night) shift. The administrator tries to schedule S1 to work on the permanent side of the facility rather than the crisis side to avoid conflict with C1 as C1 has a history of calling the police and making false allegations against S1. Sometimes due to staffing shortages, S1 will have to work on the crisis side of the facility. The administrator stated she has not received any complaints or concerns from other staff or clients. Nobody has witnessed any of the abuse allegations C1 has made against S1.

On 05/02/2024, LPA and QAS met with C1 at approximately 10:42 a.m. while C1 was seated on the back patio smoking a cigarette. LPA observed some discoloration on C1’s abdomen and legs. C1 stated S1 hit them on their legs. C1 stated S1 withholds their cigarettes. C1 told LPA and QAS they threw hot water at S1 for withholding their cigarettes. C1 told LPA and QAS they want S1 fired and taken out of the facility.

On 05/14/2024, LPA and QAS conducted telephone conference interviews with S1 at 2:02 p.m., Staff #2 (S2) at 2:24 p.m., and Staff #3 (S3) at 10:05 a.m.