Complaint Investigation Report

LPA interviewed the House Manager /Caregiver, Administrator, two (2) out of four (4) clients. One (1) out of four (4) clients was at day program, and one (1) out of four (4) clients (C1) was having behavioral episode and LPA was unable to communicate and interview.

Allegation: Licensee did not ensure adequate smoke detectors were in place in the facility

It was reported that on 2/14/25, a credible witness from North Los Angeles Regional Center (NLARC) conducted an unannounced visit to the facility and observed that smoke detector was not located in C1's room. LPA conducted interview with Administrator, Caregiver, and two (2) out of four (4) clients, who confirmed and stated that C1 removed the smoke detector because C1 smokes inside his/her room and doesn’t follow the house rules. Based on observation and information obtained during the interviews, there is sufficient evidence to conclude that the above allegation is Substantiated.

Allegation: Facility staff allow clients to smoke inside of the facility.

It was reported that on 2/14/25, a credible witness from NLARC conducted an unannounced visit to the facility and two (2) clients claimed that C1 uses “hard drugs” in their bedroom. To investigate the allegation, LPA conducted interviews with the Administrator, House Manager/Caregiver, Licensee and two (2) out of four (4) clients in care who confirmed that they witnessed C1 use “hard drugs” and alcohol. LPA was also informed that the smoke detector in C1’s room was removed by C1, so that C1 could use the drug and or smoke. Based on information obtained, there is sufficient evidence to confirm that the above allegation is Substantiated.

Allegation: Facility staff are not providing transportation to clients.

It was reported that on 2/14/25, a credible witness from NLARC conducted an unannounced visit to the facility and gathered information that staff are not providing transportation to clients as contracted. LPA conducted interview with Administrator, who confirmed that there are times that staff need to reschedule clients’ weekly outings due to not having transportation available in the facility. Administrator informed LPA that she did escalate this issue to the Licensee, however, the status is still pending, and no major changes have been done. Based on information obtained during the interview, there is sufficient evidence to conclude that the above allegation is Substantiated.