Complaint Investigation Report

(2) of (2) staff confirmed the allegation. Staff indicated that they are currently caring for (8) clients and (1) resident despite being licensed for (5) Ambulatory and (1) Non ambulatory clients 18-59 years old. (7) of (8) clients confirmed the allegation. (1) of (1) resident confirm the allegation. Client and resident stated they have been residing at the facility. During the facility walk through conducted with the Licensee, LPA observed a total of (9) beds, with (8) beds occupied by clients and (1) bed occupied by a resident. LPA confirmed the presence of all (8) clients and (1) resident during the visit, verifying that each bed was assigned and in use. During record review LPA reviewed LIC 9020 Register of Facility Client/Residents of (9) individuals residing at the facility provided by Licensee.

Therefore, the preponderance of evidence standard has been met, therefore the above allegation is found to be Substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 8 are being cited on the attached LIC 9099D.

Immediate Civil Penalties will also be issued today, in the amount of $500.00 due to Facility operating over the approved capacity of their Facility License.

Exit interviewed conducted and a copy of this report was provided with appeal rights.