Complaint Investigation Report

Allegation #2: It was alleged that staff are not adequately trained and certified. To investigate the allegation, on 06/21/2023, between 8:30 AM and 2:30 PM, (LPA) reviewed the Corrective Action Plan (CAP) issued by the North Los Angeles Regional Center (NLARC) to the facility. The CAP addressed numerous deficiencies identified during a semi-annual review conducted fom 05/17/2023 to 06/14/2023. As part of the audit, personnel records were reviewed, revealing that staff did not complete or maintain the required training and certifications, including Registered Behavior Technician (RBT) certification and First Aid/CPR training, during specific time frames. Additionally, staff did not complete the required minimum of (20) hours of CEU's continuing education units within the 1st year of employment. This poses a potential health and safety risk to clients in care. Therefore, based on documentation reviewed, the allegation is deemed Substantiated .

Allegation #3 : It was alleged that facility staff did not follow the consumer's Individualized Program Plan (IPP). To investigate the allegation, on 06/21/2023, between 8:30 AM and 2:30 PM, (LPA) reviewed the Corrective Action Plan (CAP) issued by the North Los Angeles Regional Center (NLARC) to the facility. The CAP was created following a semi-annual review conducted from 05/17/2023 to 06/14/2023, which identified several deficiencies. The (CAP) revealed documentation that the facility was not following the client's Individualized Program Plan (IPP) as required due to lack of staffing and training required. The non-compliance with the client's IPP could of caused the client's developmental progress and well-being. This poses a potential health and safety risk to clients in care. Therefore, based on documentation reviewed, the allegation is deemed Substantiated.

Allegation # 4: It was alleged that facility staff did not comply with the terms of the clients admission agreement. On 06/21/2023, (LPA) reviewed the Corrective Action Plan (CAP) issued by the North Los Angeles Regional Center (NLARC) to the facility. The CAP addressed deficiencies identified during a semi-annual review conducted by NLARC from 05/17/2023 to 06/14/2023. To investigate the allegation, the (CAP) issued by Regional Center, identified the DS6023 (Rate Development – Facility Costs) and DS6024 (Rate Development – Individual Costs Associated with Residency ) not in compliance with services that are supposed to be rendered to clients. The review revealed that the facility was not in compliance with these documents, as it failed to provide adequate staffing and ensure required staff training. These deficiencies violate the basic services outlined in the clients admission agreements, which are required to reflect the actual services rendered to clients in care. This poses as potential health and safety risk to clients. Therefore, based on documentation reviewed, the allegation is Substantiated.