Complaint Investigation Report

Interviews conducted and a review of outside source records reflected that the hours reported did not meet the required staffing hours for a Level 4i facility and was missing documentation for staffing coverage of two overnight shifts within the specified week of March 31- April 16th, 2024 for San Diego Regional Center. Interviews revealed that time cards were reviewed and showed the missing staff to client ratio.

It was alleged that facility staff does not have required training. Documents reviewed and interviews revealed that the house manager has not completed the DSP1 training. Interviews also revealed the administrator has not completed ongoing training causing failure to comply with requirements for staff qualifications.

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 Ashley Serrano, staff and a copy of this report, and Licensee/Appeal Rights (LIC9058) were provided at the conclusion of the visit, their signature on this report acknowledges receipt of copies of the reports and the rights.