Complaint Investigation Report

Based on a review of an email communication from ADM, dated June 19, 2024, the facility ADM stated that on May 6, 2024, the facility had 20 clients. The email then stated that on 11:30am another client had arrived increasing the client number to 21. Furthermore, the email states that there were 6 staff scheduled, but a staff member went home sick, leaving only 5 staff.

Based on record review, client attendance log and staff daily sign in for the month of May and June 2024, there were 7 days when the facility was not in compliance with the staffing ratio of 1 staff per 4 clients. On May 2, 2024, the facility had 22 clients, and 5 staff past 9:00am. On May 3, 2024, the facility had 21 clients and 4 staff. On May 6, 2024, the facility had 21 clients and 5 staff. On May 9, 2024, the facility had 22 clients and 5 staff. (At 11:30am, an additional staff member started.) On May 16, 2024 the facility had 21 clients and 5 staff. On May 22, 2024, the facility had 21 clients and 5 staff. On June 4, 2024, the facility had 18 clients and 4 staff. (At 11:50am a staff member signed in.)

Based on interviews and observation/inspection of the facility, the preponderance of evidence standard has been met therefore the above allegations is found to be SUBSTANTIATED.

A civil penalty is being assessed for the amount of $250 for a repeat violation within the same year.

Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 9099-D.

This report was reviewed with Program Coordinator Carole Jarvis and a copy of the report was provided. Appeal Rights was provided.