Complaint Investigation Report

During the investigation, LPA received a "Three Day Notice to Perform Conditions and/or Covenants or Quit" authored by the facility in relation to resident (R1). The notice states: "10/06/2024 When Resident [R1] returned to the facility from an outing with [relevant party], [R1] began spraying disinfectant around the facility. [R1] sprayed disinfectant spray onto two other housemates that were sitting on the couch in the common area watching TV. AMIH Staff could visibly see the amount of disinfectant spray in the air that surrounded the housemates. The housemates politely asked that [R1] stop spraying the disinfectant."

During the investigation, LPA received an Unusual Incident/Injury Report (SIR) dated 10/09/2024 indicating that "On 10/06/2024, at approximately 6 PM, resident [R1] sprayed disinfectant spray onto two other residents." During visit conducted on 11/13/2024, LPA observed storage for disinfectants and cleaning products to be unlocked and accessible to the residents in care.

Allegation: Facility staff are not adequately trained

LPA reviewed facility's Plan of Operation on file with the Department. Facility's Plan of Operation states the following: "All employees are required to obtain 40 hours of training per year. This training includes a combination of internal and external training opportunities including options offered by our local County of Placer. For all new employees, we mandate a New Employee Orientation and trainings focused on understanding the client populations, understanding the agency documentation policy and procedure, all agency programs and services, CCL requirements, service coordination techniques, APS reporting procedures and safety procedures. All staff receive training on signs of abuse, including but not limited to, physical, emotional and financial and are trained on Mandated Reporting. Staff are expected to report any concerns of abuse to their manager and complete an APS report when needed."

LPA reviewed documentation for staff training kept at the facility for staff members S1, S2, S3, and S4. LPA observed that S1 received 9.5 hours of training from Relias Learning and 8 trainings without documentation of hours completed for the year of 2024. LPA observed that S2 received 9.5 hours of training from Relias Learning and 11 trainings without documentation of hours completed for the year of 2024.