Complaint Investigation Report

The investigation revealed the following:

It is alleged that the facility did not want the client back at the facility.

During records review, LPA reviewed C#1’s Needs and Service Plan, it stated that C#1 needs assistance with developing relationships with housemates and other individuals. LPA review LIC 602, In here is stated that C#1 is non-verbal. LPA also reviewed LIC 603, it is stated that C#1 has a history of self-injurious behavior as well as aggressive behavior towards others.

During an interview with the administrator (A#1), LPA found that on 6/20/2023, (C#1) had a behavioral episode that lasted for a few days. During this episode, (C#1) became physically aggressive towards a female staff. As a result, (A#1) called the paramedics to check on (C#1)’s health status and transported him to the hospital; when (C#1) arrived at the hospital, he had to be put on a chemical and physical restraint. (A#1) activated (C#1)’s crisis response project, and Board-Certified Behavior Analyst (S#2) was notified the day after. On 6/21/2021, the hospital ran tests on (C#1). The test results came back negative. In addition, (A#1) stated that DMH came that day and recommended that (C#1) be transferred to a psychiatric unit. Since the hospital did not have a psychiatric unit, (C#1) needed to be transported to another hospital. On the other hand, the ratio at the facility is two clients for one staff, (A#1) asked Westside Regional Center if it is possible to have 1 staff per 1 client to prevent future incidents. Currently, (C#1) is at another ARF for temporary respite. On 8/23/23 the facility and regional center had a meeting regarding (C#1), during this meeting both parties concluded that client will be returning to the facility, no date has been set for return. Facility requested to regional center to have (C#1) with 1:1 ratio and psychiatric follows up before returning to facility, this for health and safety reasons, and to best support (C#1) in being successful with his transition back home.