Complaint Investigation Report

Allegation: Staff does not ensure resident's behavioral needs are being met. The complaint alleges the Licensee/Administrator has not hired a behavior consultant to provide consultant hours to residents as required per Department of Developmental Services (DDS) facility level change. According to information obtained, a change in service level was approved by DDS effective April 1, 2024, and licensee was issued formal level change notification on August 23, 2024. Administrator stated that the facility was previously a level 2 home, and is now a level 4C. Licensee stated that they did not hire a behavior consultant because they did not know where to find a consultant. Administrator stated they tried to get referral assistance from the Regional Center, but the Regional Center was not helpful and told licensee it would be a conflict of interest. Therefore, the licensee did not hire the behavior consultant. Administrator added that all residents have resided in the home for over 20 years, and it is the belief of Administrator that their behaviors cannot be modified because they are non-verbal. On December 5, 2025, the Regional Center issued a Corrective Action Plan (CAP). A level 4C facility is required to have 8 hours of behavior consultant services per resident semi-annually. Based on record review, the findings indicate all four residents have never obtained behavior consultation services.

Allegation: Licensee does not ensure staff are adequately trained. It is alleged there is a lack of records to demonstrate that staff received on-site orientation, continuous on-the-job training and continuing education units. Licensee stated the facility is owner operator with two live-in staff. There are total of 4 staff that provide care and supervision. Administrator stated that staff receive 1 hour of staff training per month, but they have not had time to document the training. Administrator acknowledged record keeping negligence and records disorganization. Based on record review, staff files did not contain proof of staff training. The CAP report findings state none of the staff files had proof of staff training with required continuing education units and on-the-job training requirements.