Complaint Investigation Report

486803540-10-14-2022-21-AS-KMOA-CL9TQ7-20221117135529

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

08/12/2022 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20220812115046

At approximately 8:30AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegation. LPA met with Licensed Physiatric Technician (LPT) Amanda Simmons, and reviewed records. Based on interviews conducted and a review of records, facility did not ensure the personal rights of C2 were not violated by C1. The contact between the two clients began as consensual but changed. The facility worked with the regional center to provide one on one staffing for C1 during the hours clients are in the home. There have been no more incidents between C1 and C2.

Based on the Departments investigation, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Deficiencies are cited from the California Code of Regulations (CCRs), and/or the Health and Safety Code. Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

This report was reviewed with Amanda Simmons and Appeal rights were given.