Complaint Investigation Report

The facility provided LPA with the Staff/Program Schedule indicating that a minimum ratio for a home census of four (4) is two (2) staff to four (4) individuals and two (2) staff at night. According to the Employee Punch Report for 12/16/23, S1 clocked out at 9:00pm and S2 was on shift until 10:17pm. S3 arrived at the care home at 9:45pm and worked until 5:40am. Staff (S4) was also scheduled for the night shift working 10:08pm to 6:09am.

Interviews with the Administrator and the Area Director indicated that S1 was removed from the schedule and placed on unpaid leave as of 12/17/23 pending further notice.

Based on interviews conducted and records reviewed, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page.

Exit interview conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.