Complaint Investigation Report

Allegation: Staff did not transport client from day program in a timely manner. It was alleged that Mr. Capansana (covering administrator) informed day program staff that he was not able to allocate staff to pick up C-1 (due to client falling earlier at the facility and wanting to return to the facility). Staff interviews revealed that the covering administrator was unable to find staff to allocate to pick up C-1 from day program (on 07/10/24). Per staff interviews, C-1 was dropped off to this facility by the day program at the usual time. C-1 also confirmed the above noted information. Interviews corroborate this allegation.

Allegation: Staff are sleeping during shift. It was alleged that nocturnal staff are sleeping during their shifts. Staff interviews revealed that the night shift staff at times sleep while clients are asleep. Per approved plan of operation (approved by Department of Social Services), “nighttime supervision will consist of awake shift staff overnight coverage (non-live in). Interviews and documentation corroborate this allegation.

Allegation: Clients are utilizing restroom in another client's room. It was alleged there is currently a remodel of the bathroom leaving only one bathroom for all the clients to utilize; this alternate bathroom is C-1’s bedroom. Staff interviews revealed that clients were utilizing the restroom located inside C-1’s bedroom during the remodel of the hallway bathroom. C-1 also confirmed the above noted information. Interviews corroborate this allegation

Allegation: Facility began alterations prior to notifying Department. It was alleged that the hallway bathroom was being remodeled and only the toilet worked and that the Administrator/Licensee did not submit a plan addressing the remodeling (prior to beginning the remodel). Staff interviews revealed that the remodel began 06/28/24 and ended on 07/23/24. Per staff interviews, they confirmed that a notification of this remodel was not sent to the Department until 07/17/24 (via email). Interviews and documentation corroborate this allegation.

Based on LPA's observation and interviews, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.

California Code of Regulations, title 22 are being cited on the attached LIC 9099D

Exit interview conducted, appeal rights and a copy of this report was provided to Jessica Tomines (S-2).