Complaint Investigation Report

Allegation: Facility staff are not adequately trained.

The details of the complaint alleged the staff at this facility may not be adequately trained calling for a concern for clients not being treated properly. There was no further information associated with this allegation.

On 10/02/24, between 9:30 am - 10: 45 am, the Department interviewed (2) out of (2) Administrator #1 (A1) and staff #1 (S1). (A1) and (S1) have indicated Direct Support Professional Training (DSP) I&II have been completed. (DSP) training consisted of 70 hours of completed training exist of various topics such as Medication Management, Communication, Incident Reporting; Risk Management, Individual Program Plans, Positive Behavior, Preventive Healthcare, Nutritional & Exercise, Making Choices, Life Quality, and many more. (A1) claimed in addition to the (DSP) training, the facility staff has completed training on Clients' Rights & Choices, Program Design Philosophy, Writing Client Reports, Medication Familiarity & Administrating Processes, Health & Emergency Procedures, Identifying & Reporting Incidents, Proactivity Safeguards; Food Service; Housekeeping; Direct Care Supervision, Abuse Reporting; Documentation Data & Collection & Response Testing Guidance for Epidemic Outbreaks. (A1) stated these courses overlap the same training with (DSP) mandatory training. (A1) reported the facility must comply with Harbor Regional Center Annual Quality Assurance Report (dated: 06/01/24) where it presents Prerequisites, Certifications, and Continuing Education Units completed by facility personnel.

As a result of the Department reviewing personnel files and QA Personnel Roster, Prerequisites, Certifications, & CEUs (dated: 06/01/24) for administrator (A1) and staff #1-#4 (S1-S4) it revealed all staff has completed (DSP) training, In-House training, and Relias HealthCare Compliance Training.

On 10/02/24, between 9:40 – 12:00 pm, the Department conducted a plant inspection of the facility. The Department observed (1) out (4) clients at the facility. Client #1 (C1) is present at the facility taking part in day program activities through virtual communications. (C2-C4) were out in the community taking part in day program activities.

On 10/02/24 at 9:30 am – 9:38 am, the Department interviewed client #1 (C1). (C1) is non-verbal and is able to carry a conversation by nodding who reported that (C1) is being adequately provided care and supervision by staff. (Evaluation Report continues LIC 9099-C)

This report serves as an amendment to clarify finding on line #4. It does not supersedes the complaint investigation findings reflected on report created on 10/02/24.