Complaint Investigation Report

During the present visit, LPA requested additional documentation including the facility's infection control plan, contraint use log, restraint debriefing forms, serious incident reports as well as the client records for one resident discharged in 2024. Additional staff interviews conducted.

Regarding the allegation that Facility does not have a qualified administrator , the following has been concluded: Upon the termination of former administrator Jacob Candias, a replacement was named in the person of George Aliimatafitafi, designated at the time as an administrator-in-training. Mr. Aliimatafitafi is indicated by current staff to have been terminated for failure to meet with the minimum requirements per Regional Center Requirements as they were not in possession of a Residential Services Orientation with either the Regional Center of Orange County or Los Angeles County. Mr. Aliimatafitafi was however verified to have been in possession of a valid Adult Residential Facility Administrator certificate valid from May 9, 2024 as well as to have been a Registered Behavior Technician. The current administrator is stated to be Ronnie Chua. Minimum requirements for Mr. Chua also verified during the present visit. It is therefore confirmed that the facility's administrator met Title 22 qualification requirements to act as an Enhanced Behavioral Support Home administrator.

Regarding the allegation that Facility does not have a complete first aid kit , the following has been concluded: Upon review conducted by LPA during the initial complaint investigation visit, the first aid kit present inside the medication cart includes Emergency First Aid guide 2022 Edition, Dressing pads and gauze, Scissors, Tweezers, Wrapping bandages, Antiseptic towelettes. All required elements are therefore verified to have been present.

Regarding the allegation that Medications are not properly labeled , the following has been concluded: Based on a complete review of the contents of the medication cart, all prescribed and PRN medications for both clients in care at the time of both visits are adequately labelled by their respective pharmacy. Photographs on file.

Based on the evidence gathered during the investigation, the three allegations listed above are found to be Unsubstantiated, meaning that although the allegations may have happened or are valid; there is not a preponderance of evidence to prove that the alleged violations did or did not occur.

An exit interview was conducted and a copy of this report was provided to a facility representative.