Complaint Investigation Report

Facility does not employ required staff for the residents in care.

It was alleged that the facility is operating with one staff during night shift as the facility is approved by the North Los Angeles Regional Center (NLARC) to provide 2:1 staffing services to C1, and 1:1 staffing services to two (2) out of four (4) clients for 24 hours. Furthermore, only one client requires 1:1 staffing services during the day/12 hours. To investigate this allegation LPA conducted interviews with the Administrator and four staff who denied the allegation and informed LPA that the facility always adheres to the approved staffing ratio to clients and never provided one staff during the night shifts at all. Additionally, LPA conducted interviews with four (4) out of four (4) clients who informed LPA that during the time of the incident which occurred on 02/28/2025 relating to C1, initially, there was only one staff available for the night shift. However, two other staff and the Administrator arrived after the incident occurred. LPA was also informed that mostly during night shifts there is only one staff available for four (4) clients. LPA conducted a review of facility program where it stated that the facility would provide 24 hours, 7 days a week staffing ratio of one staff per two clients. Based on the interviews and facility program review this allegation is Substantiated.

A deficiency was issued per California code of Regulations Title 22 or Health and Safety Code. See 9099D included with this report.

Appeal rights issued. Exit interview conducted. Copy of this report signed and delivered.