Complaint Investigation Report
LPA reviewed a Functional Capability Assessment dated April 22, 2025, that stated that C1 needs help in all ADL’s and has a deficit in communication with help needed in toileting and that they do not tend to their own personal hygiene. LPA observed an Individual Behavior Support Plan dated April 28, 2025, stating that facility staff is always within arms reach to C1.
During interviews 4 of 4 staff stated that C1 has a 2:1 ratio at all times. LPA observed two staff with C1 during the course of the investigation. 4 of 4 staff informed LPA that C1 needs help with all ADL’s and is unable to communicate their needs clearly. 4 of 4 staff stated that they have to check C1 visually to ensure their needs are being met due to C1 not having a clear form of communication. 4 of 4 staff informed LPA that they check C1 for their needs and take care of them as soon as it is noticed. 1 of 4 staff informed LPA that if staff notice C1s pants have fallen or sagged, they will immediately fix it. Staff #1(S1) informed LPA that they have asked the responsible party for a proper belt and have not received one. 1 of 4 staff informed LPA that they will cut C1s nails, but due to them pulling their hands away they have asked C1s responsible party to provide a safer way of cutting C1s nails. S1 informed LPA that the facility has not received another method of cutting C1s nails after asking the responsible party for a safer method. LPA observed C1s nails to be of a shorter length at the time of the investigation. LPA attempted to contact C1s responsible party and was unable to make contact.
Based on information gathered during the investigation the department is unable to ascertain if the above allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegations is deemed UNSUBSTANTIATED.
An exit interview was conducted with AD Leo Castaneda and a copy of this report was provided at the time of the investigation.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction