Complaint Investigation Report

275202077-9-28-2023-24-AS-BCHN-CWFUL9-20231009154020

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

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

06/01/2023 and conducted by Evaluator Brianna Miranda

COMPLAINT CONTROL NUMBER: 24-AS-20230601135723

Staff do not follow IPP for client in care

On 9/26/23 at 10:05 a.m. Licensing Program Analyst B. Miranda arrived at the facility unannounced to deliver the finding for the allegations listed above. LPA introduced herself and explained the reason for the visit. Administrator (AD) RITA FAATUAI was contacted.

1. The Department investigated the allegation: Staff do not follow IPP for client in care. LPA reviewed sample of IPP's which did not indicate there was a staff to client ratio. LPA also interviewed staff who stated IPP's are followed and there is adequate staff for the facility.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview was conducted and a copy of this report LIC9099 was printed and given to administrator RITA FAATUAI