Complaint Investigation Report

Regarding the allegation that the facility did not document that the administrator was on duty the required number of hours: it was alleged that the previous administrator, Staff #1 (S1), resigned on March 4, 2026, Staff #2 (S2) is the acting administrator until a permanent administrator is identified, and the facility does not have logs showing the administrator was on duty the required number of hours for February 2026 through March 2026. LPA inspected the facility, conducted health and safety checks on clients, and observed no health and safety issues. LPA interviewed AA who admitted the allegation, stating that S1 left on March 4, 2026, and S2 was not at the facility the required number of hours in March 2026.

Regarding the allegation that staff did not receive timely emergency intervention training: it was alleged that Staff #3 (S3), who was hired on February 2, 2026, did not complete their 16-hour emergency intervention training until March 13, 2026, and Staff #4 (S4), who was hired on April 7, 2025, did not complete their 16-hour emergency intervention training until May 8, 2025. LPA interviewed AA who admitted the allegation, stating that S3 and S4 did not complete their 16-hour emergency intervention training within their first months of employment. LPA reviewed staff training records which confirm that S3 and S4 completed their 16-hour emergency intervention training on March 14, 2026 and May 8, 2025, respectively.

During the course of the investigation, the Department obtained sufficient evidence to substantiate the allegations mentioned above. The preponderance of evidence standard has been met; therefore, the above allegations are Substantiated. See LIC9099D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.