Complaint Investigation Report

It is alleged that the needs and services is incomplete. Per record review, LPAs observed the needs and services plan (Master Treatment Plans) for Clients #1, #2, and #3 did not include an anticipated length of stay, therefore it is determined that the needs and services is incomplete.

It is alleged that the facility is not following their plan of operation. Per record review, LPAs observed that the discharge plan for Clients #1 and #4 did not include referrals, address, phone number, appointment times or dates for follow up. Therefore, it is determined that the facility did not follow the plan of operation as per page 20 of the Policy and Procedures Manual which notes that the discharge summary will include “referral follow-up plans.”

Based on the information gathered during the investigation through record review, the preponderance of evidence standard has been met for the allegations: The needs and services plan is incomplete and Facility is not following their plan of operation are deemed SUBSTANTIATED. Deficiencies are being cited as per the Title 22, Division 6, Chapter 2 of the California Code of Regulations. See the attached LIC9099-D.

An exit interview was conducted with Program Manager Patrick O'Connell, and a copy of this report including the LIC811, and the appeal rights were provided at the end of the visit.