Complaint·September 14, 2022

R1’s responsible party heard R1 make the reported statements, but stated that R1’s statements were not true, that R1 made multiple untrue statements about the facility and R1’s family during their mental health crisis, and that R1’s statements were “delusions”. R1’s responsible party also stated that as of 08/30/22 R1’s 5150 hold had been extended to a 5250 hold and that R1 was still receiving mental health treatment at a hospital. All interviews conducted revealed that R1’s statements were not true and were manifestations of R1’s mental health crisis. The Department has investigated the above allegation and found it to be Unfounded, meaning the allegation was false, could not have happened, or is without reasonable basis. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative. While the staff member held the door closed, R1 hit the staff member twice on the arm and once in the face, at which point AD advised staff to allow R1 to leave but to follow R1 to ensure R1’s safety. AD, staff, and witnesses stated that after R1 left the facility, R1 walked to the neighboring home where R1 was met by AD and the police. After additional attempts to redirect R1 and additional calls by AD to authorities, R1 was hospitalized on a 5150 hold. AD stated that staff temporarily prevented R1 from leaving the facility to ensure R1’s safety, the facility had never before experienced a resident elopement or mental health crisis, and AD did their best to address the situation and seek guidance from the proper authorities. In addition, R1’s responsible party has no complaints about how the facility handled R1’s mental health crisis, supports the facility’s efforts to ensure R1’s safety, and stated that the facility and its staff are “lovely”. However, the fact remains that facility staff prevented R1 from leaving the facility for 15 to 30 minutes which resulted in R1 attacking a staff member. During the course of the investigation, the Department obtained sufficient evidence to substantiate the allegation mentioned above. The preponderance of evidence standard has been met; therefore, the above allegation is Substantiated. See LIC9099D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.