Complaint Investigation Report

374604579-3-19-2024-08-AS-SJAB-D5PN2D-20240528100432

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SAN DIEGO RO , 7575 METROPOLITAN DR. #109

This is an official report of an unannounced visit/investigation of a complaint received in our office on

03/13/2024 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20240313103016

Staff exhibited inappropriate behavior in a clients room

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to open a complaint investigation into the above listed allegation. LPA introduced herself, was granted entry, and met with Sally Saif, Administrator, to whom she disclosed the reason for the visit.

LPA conducted interviews and obtained and reviewed pertinent records. It was alleged that staff exhibited inappropriate behavior in a clients room. Interviews revealed on 03/12/2024 Staff 1 (S1) was caught exhibiting inappropriate behavior in Client 1 (C1)s room. Interviews revealed that the facility administrator was looking for (S1) and walked into C1s room to see the staffs inappropriate behavior in the presence of C1. Interviews revealed that S1 was far away from the client and no body parts were exposed or showing. Interviews revealed the administrator asked S1 to leave the facility and S1 was terminated. Interviews revealed that the administrator reported the incident correctly and promptly with an incident report and followed with a SOC 341.

The above-mentioned allegation is substantiated. The violation is cited in accordance with California Code of Regulations, Title 22, and is recorded on the attached 9099-D (Deficiency) Page. An exit interview was conducted with Sally Saif, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.