Complaint Investigation Report

Investigation Findings: It was reported to the department that management allows several adults to work in the facility who have not cleared by DOJ background checks. While in the facility, LPA checked the names of the staff present and found one staff, S3, was not on the facility's Guardian clearance list and had been working in the facility for two days in a row including today. Since S3 is not cleared, the allegation of Uncleared adult supervising residents is substantiated.

Based on information obtained, the preponderance of evidence is met, therefore the allegation is substantiated.

Deficiency is cited from Title 22 California Code of Regulations (see 9099D). Failure to submit proof of correction by plan of correction due date and any repeat violation within 12 month period may result an additional civil penalty. Civil Penalty $200 is assessed on today's date.

Deficiency and plan and proof of correction were discussed with VP of Operations as the Administrator was not available at the moment.

Exit interview conducted, Appeal Rights, and copy this report provided.