complaint·August 31, 2022

Prior to the visit LPA received R1's IPP and 1:1 hours from Lanterman Regional Center Case Manager. During today’s visit LPA reviewed camera footage of R1's fall on 8/17/22 and interviewed Staff S3. The investigation reveals the following: Regarding " Lack of supervision resulting in resident injury while in care". It is alleged that R1 was injured while in the care of S1. During the interview, S1 stated that R1 had a fall two (2) days prior, and the bruising was old. LPA conducted file review and confirmed that R1 sustained a fall on 8/17/22. R1 was sent to the hospital for evaluation for the fall on 8/17/22 and the bruising on 8/19/22. The discharge paperwork dated 8/21/22 stated R1’s bruising is due to the fall dated 8/17/22. The administrator confirmed that R1 did not have a 1:1 at the time of the fall on 8/17/22. Administrator also stated that 1:1 staff called out, and it was hard finding replacement for R1. Lanterman Regional Center confirmed R1 1:1 hour is from 7 am- 11 pm. Special incident report date 8/17/22 stated R1 fell at 11:35 am. LPA reviewed the camera and confirmed no care staff was around R1 at the time of the fall. Based on LPA observation, interviews and file review, the preponderance of evidence standard has been met, therefore the above allegation are found to be SUBSTANTIATED. California Code of Regulation, Title 22 are being cited on the attached LIC9099D. Exit Interview Conducted with administrator Narine Mertkhanyan / Appeal Rights Provided / A Copy of the Report Issued.