Complaint Investigation Report

306005396-10-25-2025-22-AS-AORZ-DMWUP4-20251029154456

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 770 THE CITY DR., SUITE 7100

This is an official report of an unannounced visit/investigation of a complaint received in our office on

11/07/2024 and conducted by Evaluator Kimberly Lyman

COMPLAINT CONTROL NUMBER: 22-AS-20241107142511

Clients' Needs and Services Plans are not complete

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to deliver findings on the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit.

During the course of the investigation, LPA toured the facility and interviewed staff and clients as well as reviewed and obtained pertinent documentation such as staff training. Regarding the allegations that clients' Needs and Services Plans are not complete and staff do not meet minimum qualifications, the investigation revealed the following: Needs and Services plans for C1 and C2 are missing information on the Needs and Services plans including documentation for medical services and recommended services for C1 and medical conditions and nutrition for C2. Seven out of seven staff training records reviewed are missing required training topics per Licensing regulations. Based on record review, the preponderance of evidence standard has been met, therefore the allegations are deemed SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, Chapter 8 is being cited on the attached LIC 9099D. Exit interview conducted and a copy of this report along with appeal rights were provided.