Complaint Investigation Report

LPA also reviewed facility program plan, admission records, policy and procedures. In addition six (6) clients and four (4) staff were interviewed.

Regarding allegation “Staff do not follow residents' needs and services plan”: Information was received that staff do not provide residents with therapy/therapist and do not monitor clients’ vitals and blood pressure. Records reviewed and interviews conducted with staff confirmed that all clients are seen by therapists seven days a week. Clients attend group sessions and individual sessions throughout the week; clients also meet with psychiatrist and or a nurse once a week and more frequently as needed. Six (6) out six (6) clients interviewed verified that they do receive therapy and meet with a psychiatrist once week. Staff interviews and records reviewed verified that the needs and service plans are developed upon admission with client and reviewed by the case manager with the clients if needed during their residence. Needs and services plans reviewed for current and previous clients attending the program observed complete. Several attempts made to reach reporting party was unsuccessful. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. 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 above allegation “Staff do not follow residents' needs and services plan” is deemed Unsubstantiated at this time.

Regarding allegation “Staff did not distribute residents' medications as prescribed”. Information was provided that on 6/22/2025 facility had a power outage and clients were not given their medications. Interviews conducted with staff and records reviewed revealed that the power shut-off was scheduled by Southern California Edison for 6/22/2025 from 8pm-5am. According to staff, clients’ daily living and activities were not interrupted since it was scheduled shut-off; clients’ received there meals and medications with no issues. Several attempts made to reach the reporting party were unsuccessful. No issues reported during the time of the scheduled power shut-off by any client or staff. Six (6) out of the six (6) clients interviewed did not report any issues with receiving prescribed medication. Medications are centrally stored and not accessible to anyone but staff in charge of the medications. Clients confirmed that they have not missed any prescribed medications at this time. During the initial visit and subsequent visit all clients’ medications observed centrally stored and inaccessible. The facility medication administration log reviewed verified that all prescribed medications are provided accordingly as prescribed. No discrepancies observed during initial and subsequent visit. (Continue to LIC9099c)