Complaint Investigation Report

486804139-3-12-2024-21-AS-VBEI-D3HVRX-20240319164040

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1450 NEOTOMAS AVENUE, STE. 100

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

02/27/2024 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20240227091319

Neglect/Lack of Supervision - staff leave clients unattended.

Buildings and Grounds - Clients have access to knives and others sharps

Neglect/Lack of Supervision - clients fighting, because staff are not adequate to meet their needs.

Licensing Program Analyst Leibert arrives unannounced for the purpose of delivering findings on this complaint. During the course of this investigation, witnesses were interviewed; records and documents were received and reviewed; and four site visits were made to the facility. The following determinations have been made: Anonymous Complainant alleges lack of staff supervision has resulted in client fights, client access to knives, and clients left unsupervised; Complainant has not provided contact information and has not provided details which might identify possible dates and circumstances of lack of supervision; Unannounced site visits, as well as staff statements, indicates knives and sharps are kept inaccessible to clients; Although it has been established through interviews and document reviews that staffing levels, particularly on week-ends, has often been less than optimal, it was not established that facility violated it's Program Plan staffing plan or did not comply with Title Twenty-Two staffing requirements; Documented client aggression on 1/21/2024, indicates 3 staff present. Although the allegations may be true, based on statements, documents, site visits, there is not a preponderance of evidence to prove or, disprove, allegations. Therefore, the complaint is UNSUBSTANTIATED. Report left.