Complaint Investigation Report

C3 and C4’s records revealed there were no referrals or detailed recommendations listed in their discharge summary. According to the facility’s plan of operation, “Clients may be discharged voluntarily or involuntarily. The discharge summary will be completed for all clients, regardless of discharge type.” “During the proposed final treatment plan development, and prior to program participation is concluded for discharge, the staff will conduct an individual session with the client to develop and document an individualized strategy that will assist the client once discharged.” “The discharge summary form includes the following information: … Transfers or referrals to other services…”

LPA interview with two out of two staff stated they are improving their processes to include more detailed information including recommendations and referral information with names and phone numbers.

Based on interviews conducted and record review, the preponderance of evidence standard has been met. Therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6, Chapter 2), are being cited on the attached LIC 9099D.

An exit interview was conducted and a copy of the report was left with the facility representative along with appeal rights.