Complaint Investigation Report

Allegation: There is no qualified administrator present at the facility. LPA conducted interview and record review as noted above. Based on evidence presented and interview conducted, it was revealed that Administrator of Record was temporarily out of the facility on leave, and staff1 (S1) has since assumed the role of management and administrative related duties. It was further revealed that although S1 has previously submitted documents to department of developmental services (DDS), S1 has not yet been approved by DDS to act as administrator of facility. Furthermore, no additional approved individual has been in place at the time this allegation was received by the Department. As a result, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED.

Allegation: Staff spoke inappropriately in front of client in care. LPA conducted interview and record review as noted above. Based on evidence presented, it was revealed that on 6-26-25, facility staff were observed speaking inappropriately while clients were present. Evidence revealed that such comments included foul language in “rude…sarcastic” tones. External report noted that during an occurrence in which an outside agency staff assisted with providing a snack to a client, a facility staff member used a “sarcastic” tone with foul language towards this agency staff while in the presence of the client. Additionally, it was revealed that an outside agency observed facility staff commenting inappropriately regarding R1 eating food directly off the table and quoted as saying: “like a seafood boil poured all over the table.” in a joking manner in front of the client. As a result of the above provided through evidence, the preponderance of evidence standard is met, and this allegation is SUBSTANTIATED.

Citations are issued as a result of this investigation and noted on LIC 9099D. A civil penalty in the amount of $250 is issued in addition to citation due to repeat violation of Section 80072(a)(1) within a 12-month period. An exit interview was conducted with licensee designees and a copy of this report was provided via email with request for return with signature. Appeal rights provided and LIC 811 provided.