Complaint Investigation Report

Per their latest LIC602 Physician’s Report, C1 was diagnosed with Down Syndrome and was only “minimally verbal.” C1’s limited verbal skills were echoed in their San Diego Regional Center (SDRC) Individual Program Plan (IPP) and quarterly behavioral assessment. LPA attempted to interview C1 but was unable to qualify them as a reliable historian/interviewee.

The Complainant claimed that S1 was driving C1 on 12/15/2024 when they were involved in a slow-speed car accident. Per interview of Staff #1 (S1): S1 confirmed that on 12/15/2024, they were driving a car with C1 as a passenger. While they were idling at a stoplight, S1 reached to turn off the car’s air conditioning, but instead accidentally pushed the button that turns off the car’s engine. S1’s car then rolled back and bumped into the car behind them. Prior to CCLD’s complaint investigation, S1 had not reported the incident to facility management.

Although there was no injury to C1, this unusual incident involving C1 was required to be reported to C1’s responsible person (RP), SDRC, and CCLD. These parties were not notified until after this complaint investigation was initiated.

Based on available records and interviews, a preponderance of evidence exists to show that Licensee did not meet reporting requirements for this incident. The allegation is therefore Substantiated, and one (1) deficiency was cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D page). A Plans of Correction was jointly developed with the Licensee.

An exit interview was conducted with Manager Rzecore "Crown" Sorenson , to whom a copy of this report, the LIC 9099-D page, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.