Complaint Investigation Report

Allegation : Staff did not conduct facility disaster drills as required

A review of the facilities disaster drill log indicated unclear indication of the most accurate date that a quarterly fire drill was conducted. During record review, LPAs observed that the fire drill log had been white out so there was not an accurate date shown. Interviews with staff revealed that the last fire drill was conducted some time last year but there has not been a recent drill conducted at the facility.

Allegation: Staff did not ensure that complete client records were maintained at the facility

During record review, LPAs observed that some client records were not maintained at the facility and were located at a different location. Interview with the Administrator revealed that some of the client records are maintain at a home office nearby therefore during the visit, LPAs were not able to obtain those documents. Interviews with the staff revealed that they do not have access to the client's records.

Based on LPAs information obtained during investigation, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC9099D.

Exit interview was conducted with Wardell Jackson and Appeal Rights was provided.