Complaint Investigation Report

The investigation revealed the following: Regarding the allegation “Failure to provide adequate supervision to clients in care” it is being alleged that on 06/29/2024 Client 1 (C1) and Client 2 (C2) were left unsupervised in a vehicle for approximately 15 minutes while Staff 1 (S1) went into a restaurant to order food. Record Review reveals the following: Harbor Regional Center Substantial Inadequacy/Immediate Danger Plan Report Corrective Action Plan (CAP) dated 08/15/2025 and Unusual Incident/Injury Report dated 07/18/2024 both indicate that C1 and C2 were left unattended in a vehicle for approximately 15 minutes by S1 on 06/29/2024 while S1 went inside a restaurant to order food. Admission Agreement for C1 and C2 both state “Services Provided…p. Continuous, in-the-house supervision, unless a written exception is granted by Regional Center and licensing agency (Title 22, 80024).” Regional Center Individual Person-Centered Plan for C1 and C2 both state they are “provided with 24 hour care and supervision by home staff.” Interviews conducted reveal the following: C1 confirmed that the allegation occurred. Staff 2 and Staff 3 both indicated that C1 informed them that C1 and C2 were left alone in a vehicle on 06/2024. Regarding the allegation “Failure to provide adequate supervision to clients in care,” the preponderance of the evidence standard has been met therefore the allegation is substantiated.

Deficiencies cited based on LPA records review and interviews conducted in accordance with the California Code of Regulations, Title 22.

An exit interview was conducted, and a copy of this report was left with the Administrator along with their appeal rights.