Complaint Investigation Report

LPA reviewed records on 07/23/2024 at 10:00am. LPA conducted interview with Witness on 07/16/2024 at 4:19pm and on 07/23/2024 with staff around 10:30am.

On the allegation: Staff did not treat clients with respect. LPA reviewed Disciplinary records for Staff 1(S1) had two records for the day of 07/15/2024, one for smoking within 10 feet of clients and one for making an inappropriate statement to Staff 2 (S2) about resident 1 (R1). LPA interviewed witness which revealed seeing S1 smoking near the clients and hearing S1 making an inappropriate statement about R1. Staff interviewed revealed S1 was smoking and did make an inappropriate comment about R1. LPA interviews with staff revealed S2 was talking on cell phone on 07/15/2024, the client ratio that day for staff was 1 staff to 3 clients, S2 was able to use the cell phone at that time remaining within ratio. LPA reviewed San Luis Obispo County Policy on Smoking, smoking in public is prohibited in the City of Atascadero and in 2020 smoking was prohibited at State Parks and Beaches. Based on the evidence this allegation is deemed Substantiated at this time.

On the allegation: Staff did not assist client to the restroom. LPA interviewed Staff which revealed Resident 2 (R2) got out of the van in the parking lot and took off to the restroom at the park, Staff 1 (S1) did not assist R2 to the restroom, S1 did not check the restroom before R2 used the restroom. S2 was assisting Resident 3 (R3) out of the van and to the rest room. Resident 1 (R1) had also went to the restroom and S1 did not assist R1 or check the restroom prior to R1's use. LPA reviewed LIC 602A Physicians reports for R1, R2 and R3, according to the reports R1, R2, and R3 are not able to leave the facility unassisted, so if leaving the facility staff must provide assistance to R1, R2 and R3. R2's Lic. 602 also states R2 needs assistance with caring for toileting needs. According to staff, R3 is to be supervised at all times but R1 and R2 are to be checked on with staff eyes on them every 5 minutes. LPA De Leon reviewed R1, R2, ad R3's Individual Service Plans, according the plan R1 needs verbal prompting for Activities of Daily Living (ADL's) tasks, R2's Individual Service Plan requires level 3 supervision/assistance with hygiene needs, level 3 is defined as requires moderate physical assistance throughout the hygiene process and it is noted R2 will be continuously monitored. R3's service plan also states R3 is a level 3 and requires moderate physical assistance and it is noted R3 will be monitored every 1-2 minutes. Clients are non-verbal and communicate with gestures or actions. Based on the evidence this allegation is Substantiated at this time.

Exit interview conducted, deficiencies cited, copy of report and appeal rights printed for back up Administrator.