Complaint Investigation Report

The investigation revealed the following:

Allegation: Staff did not report incidents in a timely manner. It is alleged that staff failed to submit (2) SIRs for incidents involving C1 on 10/17/2025 within the required 48 hours time frame. Staff interviewed stated C1 requested to go to the ER twice on Friday, on October 17, 2025, once for discomfort in a sensitive area and once for hearing issues. Staff confirmed these incidents were reported in writing to the Regional Center on Monday, October 20, 2025. Staff interviewed also stated they receive training on incident reports every few months. Review of the Unusual incident/injury reports (SIR) confirmed that both incidents involving C1 took place on Friday, October 17, 2025 and SIRs were submitted to CCLD the following Monday, October 20, 2025, aligning with Title 22 regulations 80061 Reporting Requirements requiring notification by the next working day during its normal business hours. Since the incident took place on a Friday, submitting the report on Monday complies with this regulatory requirement. Therefore, the allegation regarding untimeliness is unsubstantiated.

Allegation: Licensee does not ensure staff are CPR certified. It is alleged that S3’s First Aid/CPR expired on 06/15/2025 and was renewed on 06/17/2025, two days late. However, S3 worked from 10 pm on 06/15/2025 to 2 pm (06/16/2025) and on 06/17/2025 from 9am -12 pm. Staff interviewed stated they are qualified to perform first aid and CPR, as necessary. Staff indicated that the administrator sends out reminders to staff for training certification renewals. However, S3 stated that they failed to renew their certification due to busy schedules and simple oversight. When the actual expiration date was discovered, S3 promptly renewed it. Documents reviewed revealed that (4) other staff scheduled to work with S3 between 06/15/2025-06/17/2025, have current first aid/CPR training. Based on Title 22 Health & Safety Code 1569.618(c)(3), the administrator shall schedule and ensure that at least one staff member who has First aid/CPR training is on duty and on the premises at all times. Therefore, there is insufficient evidence to corroborate the allegation.

Based on interviews conducted , as well as reviewed files and documentation, t here was not enough supportive evidence to concur with the reported allegations.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted and a copy of this report was provided to Vanessa Garcia, Assistant Administrator.