Complaint Investigation Report

306006100-5-13-2025-22-AS-SSAS-DGXQYK-20250523123517

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

ORANGE COUNTY RO , 770 THE CITY DR., SUITE 7100

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

05/05/2025 and conducted by Evaluator Joseph Alejandre

COMPLAINT CONTROL NUMBER: 22-AS-20250505141550

Direct care staff does not meet the minimum requirements to work at the facility

Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Program Director Jennifer Devore and explained the reason for the visit. LPA and the Program Director toured the facility. The investigation into the allegation revealed the following. It was alleged that the direct care staff did not have one year experience working with clients or If the employee does not have the required experience, the program shall document a specific plan of supervision and in-service training for the employee which will guarantee the ongoing qualification of the employee to perform the job. LPA reviewed 13 staff files. Staff 1 did not have the required one year experience and did not have a documented plan of supervision on file. The preponderance of evidence standard has been met, therefore the allegation has been substantiated. Deficiencies are cited per Title 22 division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report provided along with appeal rights.