Complaint Investigation Report

licensee did not have the minimum required number of staff providing client care.

It was also alleged that the licensee did not fulfill client consultation requirements. It was reported that each month, the licensee is required to ensure that each client is provided a minimum number of therapy hours. Information was obtained during the investigation to determine that the minimum number of hours each client is required to receive is agreed upon by the licensee. A review of facility and outside source records reflected that in the month of September 2022, Clients 1 (C1), 2 (C2), and 3 (C3) [LIC 811 Confidential Names List was provided to identify the clients] did not receive the minimum number of therapy hours required, and in July 2022, C2 and C3 did not receive the minimum agreed upon number of required therapy hours.

Based upon the foregoing, the allegations are substantiated. This finding means that the preponderance of the evidence standard has been met and the allegations are valid. Deficiencies are cited per California Code of Regulations, Title 22, and are noted on the attached LIC9099-D.

An exit interview was conducted with David Smith, Program Director, and copies of this report and Licensee/Appeal Rights (LIC9058) were provided to the Program Director at the conclusion of the visit. David Smith’s signature on this report acknowledges receipt of the report and the rights.

**This is an amended version of the original report created on 01/13/2023.**