Incident investigation·June 15, 2023

This is an Amendment to the original report, issued on 06/15/23, the Licensee has appealed the deficiency and it has been granted, therefore, the deficiency will be dismissed from LIC809-D page. On 6/15/23, LPA arrived at the facility to conduct an initial complaint investigation. This Case Management – Incident report is being done in conjunction with Complaint Control # 31-AS-20230608081726. LPA conducted record review from 11:00 a.m. – 12:00 p.m. to address allegations on complaint control number mentioned above. During records review, LPA reviewed incident report dated 2/10/23, where R1 reported to staff that R2 had tried to rape them. At approximately 11:30 a.m., the Executive Director stated this was an incident that had been alleged by R1, but they could not confirm it happened. An incident report was submitted to CCL along with a SOC341,and it was reported that overnight staff found R2 in R1’s bedroom, both in their undergarments and R2 was escorted back to their bedroom. Incident report stated that in service training was done on “staff locking resident doors overnight” and increased status checks. LPA reviewed R2's updated ISP, and no plan or notes were written for sexual behaviors. Due to the lack of information and plan to address R2's behaviors, deficiency issued per CA Code of Regulations, Title 22. Appeal rights issued. Report signed and delivered.