Complaint Investigation Report

Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation Staff #1 informed LPA that a Special Incident Report (SIR), was completed and reported to the required agency. Staff #1 provided LPA a copy of the Special Incident Report (SIR), during SIR review LPA observed that the facility did not report the incident involving Client #1 to Community Care Licensing. Based on the evidence gathered during the investigation, the above allegations are Substantiated. A finding that the complaint is Substantiated means that the findings are valid because the preponderance of the evidence standard has been met. Title 22 Regulations Personnel Qualifications and Duties 82065.1 (a)(1)(2), Reporting Requirements (a)(1)(B), from division 6, chapter, article 6, is, cited on the attached LIC 9099 D.

An exit interview was conducted where this report, appeal rights, and LIC9099-D was discussed, and a copy of the report was provided to Facility Administrator David Panowicz at the conclusion of the visit.