Complaint Investigation Report

LPA conducted a review of clients records for clients C1, C2, C3 and C4. All files are found to include all necessary components requirements defined by the California Code of Regulations Section 80070 regarding Client Records. Slight discrepancies are observed for the records pertaining to clients C1 and C2. For both of these clients, the primary care physician information on file is shown to be out of date compared to the most recent physician examination performed. It is noted however that the facesheet included in the records has in both instances the correct information. Licensee was provided consultation during the visit and instructed to avoid conflicting information to be stored in the records. Additionally, current Individual Program Plans are not present in the clients records despite one-on-one meetings having been conducted earlier. On the allegation that facility did not ensure that a separate, complete, and current record is maintained in the facility for each client, based on the review of the files and interview of the administrator, it was determined that the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

LPA requested to observe the contents of the facility's refrigerator. LPA was able to observe and document in photographs that the bottom shelf is currently held with duct tape. The top of the fridge is also observed to be dusty and covered with cobwebs that facility staff dusted and removed during the visit after LPA photographed them. On the allegation that facility refrigerator is not clean and in good repair, per observations made by LPA, it was determined that the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

LPA reviewed the expiration dates on the perishable items stored in the facility's refrigerator. Multiple food items were observed and photographed by LPA. LPA was able to observe a clamshell box of salad that no longer was safe to consume as well as a bottle of sauce with a Best By date of August 2022. LPA pointed out the expired items to facility staff who disposed of them during the visit. On the allegation that facility has expired food, per observations made by LPA, it was determined that the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated.

On the basis of the documents review, interviews and observations conducted during the visit, deficiencies have been cited under California Code of Regulations, Title 22, Division 6. A exit interview was conducted with the facility representative over the phone and a copy of the report along with appeal rights was provided and left at facility.