Complaint Investigation Report

He asked the client to come back inside the home in which client complied and settled down. 2 of the 3 staff stated when C-1 leaves the facility, whether announced or unannounced, they would follow client as they verbally redirect. Another staff admitted to sitting down by the door one time to prevent C-1 from leaving the house due to client being angry. Staff did not want client to run out into the street and that it is their responsibility to keep the clients safe. Staff also stated that the other times C-1 left the house, staff would follow the client. LPA interviewed 2 Clients today. One of the clients observed staff standing in front of C-1 to prevent client from leaving the house. However, both clients stated staff allow them to leave the facility without any issues.

Allegation – Personnel records are not up to date with training certificates. Administrator stated the Staff have received the required training when they were first employed, and the Staff records are at the facility. The Staff assisting LPA could not find any Staff files but only a binder with training logs. LPA reviewed the 2 training logs dated back in October 2021 which were on medication training and maintaining a safe physical environment. Staff interviewed stated they will have their CPI training tomorrow. Based on observation, the staff files are not maintained at the facility and their training are not fulfilled.

Allegation – Client’s behavioral plan is not included in the client records. Per the Administrator, each of the clients behavioral plan is in the client’s file. He stated the behavioral treatment plan are updated every 6 months or a year. In regards to C-1, client moved in on 7/22/22 and was using the behavior plan from the previous facility at that time. Administrator stated he was required to have C-1’s behavior plan within 30 days of admission and was planning to update it but C-1 moved out. LPA reviewed 4 client files today. Client #2 has a behavioral treatment plan dated 8/20/21 on file, which is past the annual renewal. Client #4 does not have a behavioral treatment plan and was admitted on 7/19/22.

Based on LPA observations, 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 Chapter 1), are being cited on the attached LIC 9099D.

An exit interview was conducted. The Plan of Corrections were reviewed and developed with Staff. A copy of this report and appeal rights were provided.