Complaint Investigation Report, 10/06/2023 — Quality Care Plus, Anaheim CA

No specific information for C1 was in the plan. C1’s facility records were incomplete. Based on the evidence gathered through interviews and a review of records the preponderance of evidence standard has been met, therefore the above allegation is substantiated.

Regarding the allegation, facility is unsanitary, the investigation revealed the following. Licensing Program Analysts (LPAs) Ruth Martinez and Sean Haddad conducted the initial 10-day visit to begin the complaint investigation on 8/27/20. LPA Haddad observed the following during the visit, the front porch was covered in cigarette butts, ash and other dirt. LPA observed mold in the showers in the second-floor bathrooms. LPA observed a dirty broken microwave and 3 dirty vending machines in the lobby. Based on the evidence gathered through observations the preponderance of evidence standard has been met, therefore the above allegation is substantiated.

The investigation into the allegation, lack of qualified staff to meet client needs, revealed the following. It was alleged that the facility did not have enough staff to provide care and supervision for all of the clients at the facility. On 8/27/20 there was an incident in which Client 1 (C1) was having a behavior episode and Staff 1 (S1) called 911. C1 and S1 are no longer associated with the facility and their contact information is no longer valid. C1 and S1 could not be reached to be interviewed. The Administrator reported that at the time of the incident the only Staff member on duty was S1. The number of clients at the facility at the time of the incident was reported to be 75 clients. At the time of the 10-day visit the facility census was 73 clients. The Administrator reported that the census at the time of the incident was 75. One staff member is not sufficient to meet the needs of all the clients especially when there is an emergency that requires staff to call 911. Based on the evidence gathered the preponderance of evidence standard has been met, therefore the above allegation is substantiated.