Complaint Investigation Report

The investigation revealed the following:

In regards to the allegation: “Facility is not operating within staffing ratios.” It is alleged that a staff cut staff hours which leave the facility without staffing ratio. (3) out of (4) s taff interviewed corroborated the allegation and stated that the facility is short staffed. S3-S4 reported that they often work alone with (4) clients. Staff interviewed indicated that the staffing shortage fluctuates . Staff interviewed also stated that the facility hires staff through an outside employment agency to fulfill their staffing ratio requirements. Staff interviewed confirmed that the Regional Center mandates a ratio of 1 staff member per 2 clients, but this is not being met because of inadequate staffing. A representative from the Regional Center verified the staff 's claims and is currently investigating the allegation. Some interviewed clients corroborated the allegation and stated that the number of staff available varies, with only 1 staff member typically present. During today’s visit (03/18/2025), S3 confirmed that there was only (1) staff member working with (4) clients at the facility from 6am to 10am. Based on LPA’s observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED .

In regards to the allegation: "Facility has an insufficient food supply." It is alleged that there's not enough food in the home, one day there is the next few days it's empty. (3) out of (4) staff members interviewed confirmed the allegation. S3-S4 indicated that the facility frequently runs low on food because the staff responsible fails to purchase food supplies in a timely manner. Staff members interviewed mentioned that they make do with whatever is left in the pantry or refrigerator to prepare meals for clients. During the visit, LPA noticed insufficient food supply and did not find the necessary quantity of food for the number of clients in the facility. One of the staff members brought food supplies while LPA was present in the facility. LPA examined the most recent food receipt dated (03/07/2025), which did not validate the claim that groceries are purchased weekly. Clients interviewed also reported that there are times when they run out of food and consume leftovers. Based on LPA’s observations, interviews, and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED .

Deficiencies cited on the attached LIC 9099D.

Exit interview conducted and a copy of this report was provided to Todkashane Lawson, Direct Support Professional II.