Complaint Investigation Report

On February 24, 2026, LPA interviewed RP, visited the facility, interviewed staff (S1) and a client (C1), reviewed facility records, and examined a call log report provided by RP.

Similar information was obtained in prior unrelated investigations involving staff ( S1, S2) and clients (C1, C2, and C3) as well as records reviewed. In a prior interview with S1, it was found that C4 has not been a resident for over a year, and C3 has an ongoing medical condition requiring legitimate medical attention.

Regarding C1 and C2, both have a documented history of attention seeking behaviors related to requesting hospital transport. This documentation includes complaints and incident reports sent to the department. On February 25, 2026, during an interview with C1, they admitted calling 911 out of boredom. Staff (S1, S2) stated they are aware of these behaviors but cannot prevent clients from calling emergency services due to false statements or threats. S1 explained that they attempt to redirect clients and discourage unnecessary calls, but C1 and C2 often insist on requesting emergency services.

As an Adult Residential Facility (ARF), staff are not medically licensed and cannot make medical determinations beyond basic care. Denying a client access to emergency services could place the facility at risk of liability, even when calls appear unnecessary.

Based on interviews, records reviewed, and LPA observations, the preponderance of evidence standard was not met. Therefore, the allegation is unsubstantiated. No deficiencies were cited were cited in accordance with the California Code of Regulations.

Report and Appeal Rights discussed with and provided to Licensee. Signature below confirms receipt.