Complaint Investigation Report

Interviews with clients revealed clients are picked up timely from appointments or day program. Interviews with staff revealed facility’s protocol is to pick up within 30 minutes. However, clients’ day program is within 30 minutes of the facility and that can become difficult if there are any unforeseen delays. Interview with administrator revealed on 9/10/24, adult day program staff had called staff to request client #1(C1) be picked up. However, staff were with another client at an appointment and there is only one facility vehicle, and the appointment was at a further distance from the facility and day program. While they made arrangements for C1 to be picked up it took them longer to respond. Interview with Day Program staff revealed it was C1’s first day at day program and this was an isolated incident. Per incident report submitted to the Inland Regional Center on 9/11/24, At 9:40am adult day program staff called facility’s staff. Additional contacts were made at 10:19am and 10:30am. C1 began showing self dangerous behavior, adult day program staff sought emergency services assistance. At 11:20am, C1 was taken by emergency personnel and facility’s staff arrived to pick up C1. C1’s Individualize Program Plan dated: 4/30/24 does not note transportation services needed or respond time to prevent C1’s aggressive behaviors. Facility’s plan in place date 2/18/24 does notes staff will assist C1 by removing C1 from behavior trigger and with copying mechanisms. Interview with IRC facility’s liaison revealed a plan to better assist the clients during emergency was developed on 11/19/24 . Although, the incident occurred, and facility staff did not pick up C1 within 30 minutes. Facility staff did respond based on the circumstances that surround the care of each client in care. Therefore, this allegation is unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Rosa Lopez and a copy of this report was provided.