Complaint·December 4, 2024

In addition, LPA acquired a voice recording conversation between resident R1 and Administrator. Upon review of the recording with SC1, it was found that Administrator is speaking with R1 in a stern manner and repeating a question “when did you ever go without money?” to R1. R1 appears to be soft spoken in the recording. However, SC1 interpreted the interaction as a statement of facts, with the Administrator providing a coaching moment to R1. LPA found that the language and question used in the conversation between R1 and the Administrator is line with R1’s behavior plan. Due to contradicting information gathered and a lack of corroborating evidence from several interviews and records gathered, the allegation is found to be unsubstantiated. Complaint alleges facility staff hit clients. Based upon interviews with residents (R1, R2 & R3) and staff (S2) there were inconsistent statements or information of staff hitting resident (R2). R2 also indicated that they had not been hit or physically mistreated by staff. Upon interview with Golden Gate Regional Center Service Coordinator (SC1), LPA found that SC1 had never observed or received statements or indications from R1 or any other residents of residents being hit by staff. Due to contradicting information gathered and a lack of corroborating evidence, the allegation is found to be unsubstantiated. Complaint alleges staff are not responding when clients call for assistance. Based upon interviews with residents (R1, R2 & R3) and staff (S2) LPA received inconsistent information regarding staff providing appropriate assistance. R2 & R3 reported no concerns and stated that staff provide care and respond timely. R1 indicated that they have not been ignored by staff but have had to wait several minutes for a assistance. All resident statements are contradicting from allegation of staff not responding, therefore the allegation is found to be unsubstantiated. A finding that the complaint allegations, facility staff do not treat clients with dignity or respect, facility staff hit clients & staff are not responding when clients call for assistance are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.