complaint·March 28, 2022

The investigation revealed the following; Allegation: Resident was hit by another resident breaking resident's eye glasses. The details of this allegation states that R2 hit R1 which led to R1's glasses to be broken. According to the Unusual Incident/Injury Report submitted by the facility, on 1/28/2019, at approximately 9:45am, R2 went into R1's room and knocked the glasses off of R1's face. Based on record reviews and interviews conducted, there were no witnesses to the incident. R1 could not recall what caused R2 to go into her room and knock her glasses off of her face. This was an isolated incident and R1 did not sustain any injuries. R1's glasses were broken as a result of the incident but R1 received replacement glasses after seeing an Optometrist. After the incident, R2 was taken to Sherman Oaks Hospital for a psychiatric evaluation and did not return. R2's whereabouts are unknown at this time. Per the Administrator, there have been no prior incidents involving R1 and R2 and both residents do not require one to one supervision. According to the Appraisal/Needs and Services Plan for R1, R1 has a diagnosis of Attention-Deficit/Hyperactivity Disorder (ADHD) and is fully independent. According to the Appraisal/Needs and Services Plan for R2, R2 is able to follow instructions and is described as outgoing and interacts well with others. Per the Administrator, FDLRC did not conduct an investigation regarding the incident involving R1 and R2. Although the incident happened involving R1 and R2, the facility staff could not have done anything different to prevent the incident from happening. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. An exit interview was conducted and a copy of this report was provided.