Complaint Investigation Report

Regarding the allegation: Staff not reporting incidents to client's authorized representative.

On 09/08/2021, it was alleged that the day program staffs did not report to Client#1’s (C1’s) authorized representative/ conservator regarding an incident that occurred during the day program on 09/03/2021. On 09/03/2021, C1 was attending a community outing and did not feel well and appeared to be pale. The day program staff called emergency services for C1. The day program alerted C1’s group home administrator in which C1’s group home administrator arrived shortly. The Program Director arrived after being notified of the incident. C1 was transported to the hospital after the arrival of both the Program Director and C1’s group home administrator. Based on record review and interviews, it was revealed that C1’s group home administrator contacted C1’s conservator directly while the Program Director handled the incident and the other clients that were present. The Program Director explained that the day program will start calling both parties from now on.

Based on the information obtained, there is sufficient evidence to support the claim that the day program did not report to Client#1’s (C1’s) authorized representative regarding an incident. This allegation is deemed Substantiated at this time.

The following deficiencies were observed (See LIC 809-D.) and cited from the California Code of Regulations, Title 22 and California Health and Safety Code. Failure to correct the deficiencies may result in civil penalties.

Exit interview conducted and report reviewed with Program Director. A copy of reports and appeal rights were provided via email.