Complaint Investigation Report

On 07/25/2025, LPA reviewed two incident reports faxed (on 07/11/2025 and 07/15/2025) to Community Care Licensing Monterey Park Regional Office. Note: Client #1 has been away from the facility.

Regarding the allegation, “Staff does not ensure sufficient care and supervision is provided to clients”. LPA observed a video surveillance of Client #1 (C1) leaving the facility unattended to the neighbor’s driveway. C1 began to beat on the neighbor's car hood, kicked the driver side doors, and kicked the neighbor’s fence. Staff arrived afterwards. Record review of C1’s Physician’s Report (05/12/25) revealed that C1 cannot leave the facility unattended. Staff, client, and witness interviews (S1, S5 -S6, C2, W1) indicated that C1 and S5 were in the backyard to help C1 calm down. While playing basketball, the ball went in another direction and S5 went to go retrieve it. At that moment, C1 left the facility towards the neighbor’s occupied car. The neighbor’s car horn signaled S5 – S6, and C2 to come outside towards the neighbor's house to retrieve C1.

Regarding the allegation, “Staff does not ensure sufficient care and supervision is provided to clients” based on observation, record review and interviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

Deficiencies are being cited according to California Code of Regulations, Title 22 on the attached LIC 9099D.

An exit interview was conducted, plans of correction developed, and a copy of this report with the appeal rights were provided to the Administrator Kelli Pinkney.