Complaint Investigation Report

interviews with facility staff and outside sources.

On March 20, 2023, San Diego Regional Center submitted to the Department a Title 17 Monitoring Report conducted on March 14, 2023. Report indicated that a spray bottle containing bleach water was was observed on top of the kitchen sink. During LPA’s visit on March 29, 2023, LPA did not observe any cleaning products readily accessible to clients. LPA spoke with House Manager that confirmed that there was a spray bottle containing diluted bleach on the kitchen sink on March 20, 2023. House Manager stated that the bottle contained a very diluted solution of bleach water for cleaning.

It was further alleged that facility kept expired food in the refrigerator. Title 17 Monitoring Report indicated that a “substantial amount of expired food” was disposed of. San Diego Regional Center Coordinator (SDRCC) who wrote the report indicated that they saw mold on some of the foods. They also stated that, after disposing of the expired food, there was still an adequate amount of food for clients. House Manager confirmed that there was expired food in the refrigerator on March 20, 2023 and that it was disposed of. LPA did not observe any stored expired food items and observed adequate amount of food for clients.

It was also alleged that facility did not keep complete medical records. Title 17 Monitoring Report indicated that medication records were incomplete for eye drops belonging to Client 1 (C1 - See LIC811 Confidential Names). SDRCC revealed that medication specifically did not have a prescription. House Manager stated that the medication was obtained by C1’s parents during a one week period of time, around the end of January 2023, when C1 was staying with their parents. Upon C1’s return to the facility, parents brought C1’s medication without documentation. House Manager stored the medication in a locked cabinet around early February 2023.

It was also alleged that facility did not keep receipts for client purchases. Title 17 Monitoring Report indicated that records indicated current balance, income, and expenditures. However, records were missing receipts for purchases. House Manager explained Staff 1 (S1 - See LIC811 Confidential Names), who was assigned caregiver for outings, was not keeping receipts. LPA observed receipts dating back as far as March 23, 2023. House Manager stated they had only just began keeping receipts.