Complaint Investigation Report

On today's visit date 1/19/24, LPA Calderon via email was sent Fire drill documentation for 9/2/23 and for 10/02/23. LPA interview Service Coordinator from East Los Angeles Regional Center, interviewed Staff #1 and Staff #3 (S1 and S3), attempt to interview Staff #4 and Staff #5 (S4 and S5).LPA reviewed Special Incident report relevant to an allegation and reviewed water temperature log. LPA observed clients bath towels.

Based on allegation: Staff sleep while on shift. Investigation revealed during LPA interviews with staff Assistant Administrator, S1 and S3 informed LPA they are haven't witness staff sleeping. Client's interviews with C1 and C2, client's could not corroborate with the above allegation, client's are unable to communicate due to cognitive impairments. During LPA's visit dates 12/7/23 and 1/19/24 LPA did not observe staff sleeping on shift.

Based on allegation: Clients are provided ripped bath towels. Investigation revealed during LPA interviews with staff Assistant Administrator, S1, S2 and S3 informed LPA that towels may have become worn and ripped, but there are still sufficient towels and new towels that are bought or replaced, and clients have sufficient towels to permit change. Clients C1 and C2 are unable to client's could not corroborate with the above allegation, client's are unable to communicate due to cognitive impairments. Interview with Service Coordinator at East Los Angeles Regional Center informed LPA that they are not aware clients being provided ripped bath towels. During LPA visits on 12/7/23 and 1/19/24 LPA did not observe any ripped bath towels. LPA did observe ripped towels that are used as rags separate from bath towels for client's.

Based on allegation: Staff did not prevent client from leaving the facility unassisted. Investigation revealed during interviews with Assistant Administrator, S1, S2 and S3 that staff prevent residents from leaving unassisted and deny the above allegation. Clients C1 and C2 are unable to client's could not corroborate with the above allegation, client's are unable to communicate due to cognitive impairments. Interview with Service Coordinator at East Los Angeles Regional Center informed LPA they deny the above allegation and staff assist clients when clients leave facility. LPA reviewed Special Incident report for clients leaving unassisted / absent of clients without leave (AWOL), AWOL incidents reported for 10-17-23 and incident 11-10-23 with clients, reports reviewed by LPA state staff for both AWOL incidents drove to find client's and staff notify sheriff's police department to report missing persons / clients.