Complaint Investigation Report

"AMENDED" This is an amended version of the original report created on November 20, 2023-SEE BELOW.

A review of Client #1's Individual Program Plan indicates that the client has emotional outburst behaviors. LPA conducted interviews with clients and staff, LPA learned that during the incident, both Client #1 and Client #2 were placed next to each other in the rear seats of the vehicle when Client #2 became aggressive and scratched Client #1. During interviews with Client #2, it was disclosed that two staff members were sitting up in the driver side front seat and passenger side front seat of the van and that no staff were present in the back of the van. While interviewing the Caregiver, LPA learned that the Caregiver and Driver were both sitting in the front seats of the van and no staff were present in the back of the van because it didn’t occur to her that she needed to watch both clients (See LIC 9099D). Furthermore, after the incident, Community Care Licensing was not notified of the fall incident and the client becoming physically aggressive towards another client (See LIC 809-Case Management-Other inspection dated for November 20, 2023) . LPA educated the Floor Supervisor on Personal Rights as it relates to Personal Rights of clients in care.

Deficiencies cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Appeal rights given. Failure to correct the deficiency and/or repeat deficiencies within a 12-month period may result in civil penalties. Exit interview was conducted, and a copy of this report was signed and given to the Assistant.