Complaint Investigation Report

During the present visit, LPA conducted or attempted to conduct interviews with facility client and administrator. Staff notes were also reviewed and added to the investigation file.

Client C1 was the most recent admitted client into the facility at the time of his move into the facility on May 23, 2024. According to staff members interviewed, the other clients had an already established group dynamic and C1's arrival required adjustments from all involved. A 30-day review from facility staff dated June 15, 2024 does not indicate any interpersonal issues with the other clients at that time and states: " [C1] became friends with our other residents [...] within the first day of meeting them ". Additionally, based on the quarterly review meeting involving C1, their family and C1's Regional Center of Orange County's Service Coordinator dated July 15, 2024: " Current placement is reported and appears stable and appropriate. [C1]'s needs are being met at current placement and continued staff support ".

Based on an incident report submitted by Regional Center of Orange County on September 25, 2024, on September 21, 2024, facility staff reported that client C3 verbally insulted C1 after becoming agitated and frustrated online. Client C2 joined into the verbal antagonizing upon their arrival from work later the same day. Client C3 has a documented history of disruptive social behavior per their records maintained at the facility. Following the incident, administrator increased staffing to ensure such direct confrontations could be avoided. Additionally, meetings with C2 and C3's Service Coordinators and family members were initiated on September 30, 2024 and October 16, 2024. Regional Center of Orange County staff with knowledge of the facility and clients both stated that in their opinion the facility's response had been adequate.

Regarding the allegations that Licensee did not ensure that facility is a safe and healthy environment for clients in care and that Facility did not ensure that clients were accorded with dignity in his/her personal relationships with staff and other persons , the investigation found that facility staff appeared to have acted appropriately and timely to ensure that the clients potential disruptive behaviors did not compromise other admitted individuals' personal rights.

As a result, both allegations are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted and a copy of this report was provided to facility.