Complaint Investigation Report

It was alleged that due to lack of supervision the licensee did not meet overnight coverage for clients in care, specially the night shift time sheets did not match the night shift schedule. It was reported that, based upon the needs of the clients in care, during the weeks of 12/15/2024 through 1/4/2025, the licensee was required to have a one awake staff working on the PM shift. Interview conducted, review of outside source records, as well a review of facility records reflected that on 12/15/2024 through 1/4/2025, from 10pm to 6am there was one staff present and awake at the facility.

It was alleged that full and complete staff records were not available for review during the quality control inspection of the facility by vendor, San Diego Regional Center. Specifically training documentation were not present at the time of the San Diego Regional Center quality control audit. Based on interviews and a review of available training records, all currently employed staff members were found to meet the training requirements from Title 22 of the California Code of Regulations. All personnel employed by the facility were verified to have received on-the-job training upon hiring orientation . Staff interviews revealed feeling competent in their job duties and consistently identified facility protocols regarding the various responsibilities performe d for their role. Although the records were not present for additional CEU/competency training for Title 17, an outside source did not express any concerns regarding staff competency when providing care to clients. During the unannounced facility visits LPAs observed staff assisting clients. LPAs did not observe any staff performing a task in a way that indicated lack of competency or training.

It was alleged that Licensee did not maintain first aid kit, more specifically the first aid kit contained expired supplies. Observations revealed the facility did have a first aid kit on site readily available in a central location. The supplies contained in the first aide kit were found to meet the requirements from Title 22 of the California Code of Regulations. No supplies were identified as expired.

The Department has investigated the above-mentioned allegations and based on interviews and records review, the preponderance of the evidence has not been met, therefore, these allegations are deemed unsubstantiated.

An exit interview was conducted with House manager Kevin Jones, whose signature below confirms receipt of a copy of this report..