Complaint Investigation Report

216803711-10-23-2024-21-AS-CMAZ-DADUSC-20241025155003

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/11/2024 and conducted by Evaluator Kimberley Mota

COMPLAINT CONTROL NUMBER: 21-AS-20240911084846

Staff did not accord privacy to resident in care.

Licensing Program Manager (LPM) Mota arrived unannounced and met with Willie Hogan, Administrator to complete the complaint investigation and deliver findings. During the course of this investigation, records were reviewed, observations made, and interviews conducted.

During the course of the investigation, interviews and documents reviewed revealed that a video recording of Client (C1) was obtained while C1 was in crisis while undressed in their bed. Interviews confirmed that staff were told to record visually when C1 is in crisis and performing self-injurious behavior (SIB).

Based on LPAs observations and interviews which were conducted and record review(s), the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 1), is being cited on the attached LIC 9099D. Appeal rights given.