Complaint Investigation Report
The investigation revealed the following:
Allegation: Staff was sleeping while providing care and supervision
It is alleged that on 7/11/25, S1 was observed sleeping while providing care and supervision to clients C1-C3 during their lunch break. LPA interviewed 4 staff and 3 out of 4 staff confirmed the above allegation, interviews with S2 and S3 revealed that S1 was observed sleeping and while providing supervision to clients C1-C3 during their lunch time and has since been terminated from employment with organization. LPA interviewed 4 clients and 1 out of 4 clients confirmed the above allegation, interview with C1 revealed they were present and observed S1 sleeping while providing care and supervision to clients.
Allegation: Staff are operating out of ratio
It is alleged that facility was operating out of ratio on 11 different occasions in June 2025 and 4 different occasions in July 2025. LPA reviewed Title 17 requirements, and it was observed that facility should be operating with a 1:3 ratio. LPA interviewed 4 staff and 4 out of 4 staff interviewed confirmed the above allegation and stated that although their ratio should be 1:3 (one staff to 3 participants) they often operate with a 1:4 ratio as there are staff call offs, interviews with S2 and S3 revealed that facility is actively trying to hire additional staff but have not yet been able to bring enough staff on board to operate within Regional Centers required 1:3 ratio. LPA interviewed 4 clients and 3 out of 4 clients confirmed the above allegation and stated there is usually 1 staff for every 3 clients, however, often times there will be 4 clients to 1 staff.
Based on LPAs observations, interviews which were conducted and record review, 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 and Chapter 3 are being cited on the attached LIC 9099-D. Exit interview held, and a copy of this report and appeal rights were emailed to Program Director.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction