Complaint Investigation Report
The investigation revealed the following : Allegation- Staff does not ensure facility operates in ratio.
The details of the complaint alleged that the day program is short staffed; and the staff to client ratio is five (5) clients to one (1) staff which could lead to health and safety issues for the clients. On 04/09/25, from 9:25am-2:00pm, the department interviewed staff (S1-S8) and clients (C1-C7) regarding the allegation. 5 of 8 staff corroborated the allegation that the Staff does not ensure facility operates in ratio. The majority of staff that were interviewed stated that the day program has had issues with keeping staff and that causes the program to increase the number of clients they must manage. S1 stated they are in the process of hiring additional staff for the day program.
The department reviewed the Client Distribution Chart (Dated: 02/03/2025-04/07/2025) and found that on average the staff to client ratio was one (1) staff to five (5) clients during this period; while the day program’s plan of operations specifies that Brighter Outlook II staff to client ratio should be one (1) staff to three (3) clients.
LPA interviewed clients C1-C7 about the allegation and 4 of 7 clients that were interviewed corroborated the allegation that Staff does not ensure facility operates in ratio. Clients stated that they feel the day program needs more staff to meet the needs of all the clients enrolled in the program.
Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met. Therefore, the above allegation: Staff does not ensure facility operates in ratio, is found to be Substantiated . California Code of Regulations, Title 22, Division (6) and chapter (3) are being cited on the attached LIC 9099D.
Note: *Citations not cleared by the due date will have a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared.
Deficiencies are issued and plans of corrections were discussed.
An exit interview was conducted with Wendy De Leon, Administrator, and a copy of this Complaint Investigation Report and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction