Complaint Investigation Report

216800652-2-29-2024-21-AS-VBEI-D35NQB-20240307093938

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SANTA ROSA RO , 1450 NEOTOMAS AVENUE, STE. 100

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

12/19/2023 and conducted by Evaluator Helena Rummonds

COMPLAINT CONTROL NUMBER: 21-AS-20231219102325

Manager of Program Operations, Kayla Hotchkiss

At approximately 1:50PM, Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced to continue a complaint investigation regarding the above allegation and met with Manager of Program Operations, Kayla Hotchkiss.

Complaint alleges that staff are not properly trained. Per LPA review of training documentation, facility is not following their training requirements as stated in their Plan of Operation. Facilities Plan of Operation states that staff will be receiving 24 hours of annual training. 5 of 6 staff training records reviewed did not meet the required 24 hours of annual training as stated in facilities Plan of Operation.

Based on record review, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. Deficiencies are cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties.