Complaint Investigation Report

Allegation: Licensee did not complete a written needs and services plan for client.- Substantiated

The Department reviewed records and conducted interviews to investigate the allegation that the licensee did not complete a written needs and service plan for client.

During the course of the investigation, LPA reviewed four (4) client files. A review of three (3) out of the four (4) client’s needs and service plans were outdated. Client #1 (C1), Client #3 (C3) and Client #4 (C4) needs and service plans were observed to be all over a year old.

Based on LPAs observations and interviews which were conducted and record reviews, the facility did not ensure that all clients’ needs and service plans are updated and current. Therefore, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D

Allegation: Staff did not ensure client was adequately secured in a wheelchair.- Substantiated

Interviews indicated that on 10/02/2023 when C1 arrived home from the program, it was observed that C1’s 5- point harness seat belt on C1’s wheelchair was looped under C1’s backpack and not secured or fastened. Based on interview conducted, the program safety protocol includes a two-person check. When a client is leaving the program, the program staff as well as transportation staff are to double check when securing client’s chairs into place. When the program was notified of the incident on 10/02/2023, S1 acknowledged the error and stated the situation would be addressed. Records reviewed indicated that C1’s medical needs include C1 requiring a 5- point harness seatbelt in their wheelchair to prevent C1 from slipping and/ or falling out.

Based on LPAs observations and interviews which were conducted and record reviews, the facility did not ensure that C1 was properly secured in their wheelchair before transportation. Therefore, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D

Exit interview conducted and a copy of the report and appeal rights were left at the facility.