Complaint Investigation Report

not been reviewed by the behavioral consultant.

Documentation was reviewed from 2023-2025 and it revealed that 17 ISP's were incomplete having not been reviewed and signed by the Behavioral Consultant.

Based on interviews 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 Chapters 1 and 6), are being cited on the attached LIC 9099D.

In regards to the allegation Facility did not ensure to have appropriate staffing to meet ratios based on interviews conducted and information gathered it was revealed by Staff S1 who confirmed that in the months of November 2025 and December 2025 there were multiple days where documentation specify 1 to 4 as the ratio and not 1 to 3 as requested by Regional Center.

Review of documentation for November 2025 and December 2025 there were multiple days where documentation specify 1 to 4 as the ratio and not 1 to 3 as required by Regional Center.

Program Manager Ezekiel Mesa confirmed that there were multiple days that it was documented 1 to 4 ratio in those months.

Staff explained that during those 2 months there is always coverage by 5 management staff who always fill in when there are employees calling off or leaving sick.

Interview with clients in which 9 out of 10 said the program has sufficient coverage and that managers will also assist them along with their job coach.

All stated staff treat them well and are very kind.

Based on interviews 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 Chapters 1 and 6), are being cited on the attached LIC 9099D.

Exit interview conducted and copies provided to Program Manager Ezekiel Mesa.