Complaint Investigation Report

[CONTINUED FROM 9099] The IPP also indicated that C2 engages in maladaptive behaviors, and it was important for staff to be aware of these maladaptive behaviors while supervising C2.

An interview by the Department with an outside source on 07/20/2021 revealed that C1 communicated to another outside source that C2 had prompted C1 to engage in a sexual act on 06/15/2021. An interview by the Department with C2 on 10/27/2021 also revealed that C2 admitted to prompting C1 to engage in a sexual act. During the interview, C2 also stated that no staff where present when the incident occurred and C2 did not know where staff were. In an interview with the facility Program Administrator (PA), it was disclosed that on 06/16/21 C2 told the PA, the Director and staff that they had touched C1 and promised not to ever do it again.

An interview by the facility Director on 10/27/21 revealed that Staff #1 (S1), assigned to C1, should have been right next to C1. Staff #2 (S2), assigned to C2, also should have been in line-of-sight of C2. An interview with (S1) by the Department on 08/18/2021 revealed that S1 was C1’s Direct Support Professional (DSP). S1 stated that on the date of the incident, 06/15/21, C1 was left in their bedroom and S1 went to the kitchen to work on tasks. S1 stated that they found out the next day about the incident. S1 admitted that they should have been more vigilant with C1. An interview by the Department with the Director on 10/27/21 also revealed that facility video camera footage had been reviewed for the date of the incident, 06/15/2021, and showed C1 coming out of their bedroom and C2 coming out of the bathroom at the same time. The video footage also showed S1 and S2 being 100 feet away from the clients in the kitchen.

Based on interviews and records review, the above-listed allegations were determined to be substantiated. A substantiated finding means the allegations are valid because the preponderance of the evidence standard has been met. Pursuant to the California Code of Regulations, Title 22, Division 6, the deficiencies are cited on the attached LIC 9099-D.

An exit interview was conducted and a copy of this report along with the Licensee Rights (LIC 9058 01/16) were provided to Paul Wheeler, whose signature below confirms receipt of these rights.