Complaint Investigation Report

Interview with staff #1 (S1) confirmed that they had a blender out but was locked away when they were notified it needed to be placed in a locked cabinet. On June 1, 2023, LPA toured the facility and observed that the blender was placed in a locked cabinet where their sharps were placed.

It was also specifically alleged that staff did not have updated documents in the client’s files. Interview with an outside source said that they did not have records updated in two of the client’s files. Interview with S1 said that they are currently updating client’s files. A review of records revealed that Client #1’s (C1) records did not have an updated Face Sheet (last updated October 2021), Emergency Contact Information (last updated December 2021) and did not have a Preplacement form. In review of Client #2 (C2) records revealed that they did not have an updated Face Sheet (last updated May 2021), Identification and Emergency Contact Information (last updated December 2021) and did not have a Needs and Service Plan. The records for Client #3 (C3) revealed that the facility did not have an updated Identification and Emergency Contact Information (last updated September 2021) and did not have a Preplacement form. On June 1, 2023, LPA toured the facility and observed that S1 was updating the client’s files.

Based on the Department’s investigation of the above-mentioned allegations and the evidence obtained during staff and outside source interviews, records reviewed, and LPA observations, there is sufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegations are deemed to be substantiated. California Code of Regulations, Title 22, Division 6, Chapter 8, is being cited on the attached LIC9099-D.

The report was discussed, plan of correction was jointly developed, and an exit interview was conducted with Administrator Meeter. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) were provided to Administrator Meeter at the conclusion of the visit. The signature below confirms the receipt of these documents.