Complaint Investigation Report

During interviews with the staff, two (2) out of five (5) staff corroborated the allegation. One of the staff interviewed stated that from their understanding that staff training had been conducted up through 2022, however afterwards the training did not continue to be conducted. Another staff interviewed stated that although a client uses a dry-powder inhaler, there was no documentation available that annual retraining by a licensed professional had been conducted as required by Title 22 regulations. During review of the medications, physician's orders were on file for a dry-powder inhaler for two (2) separate clients and there was no documentation of staff training on file.

In regards to the allegation that "Staff did not follow reporting requirements," it is alleged that there was an incident involving a car accident amongst a staff members and another client that was not reported. During interviews with the staff, one (1) out of five (5) corroborated the allegation. Most staff interviewed stated that they were aware that there was an incident involving a car crash with clients while a staff was driving them, but were not aware of the details of the incident or whether it was reported. Another staff interviewed confirmed that the incident did occur and was cross reported to ELARC. During review of the incident reports submitted, to Community Care Licensing Division (CCLD), no report was received for the incident which occurred on 9/18/2024.

Based on LPA interviews conducted with the clients and staff, the preponderance of evidence standard has been met for the above allegations, therefore the allegation is found to be SUBSTANTIATED . California Code of Regulations Title 22, Division 6, Chapter 1 is being cited on the attached LIC9099D.

Exit interview was held and a copy of the report along with the appeal rights were provided.