Complaint Investigation Report

507001405-8-6-2024-27-AS-LRIS-DA9S2R-20241021132954

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

SACRAMENTO SOUTH ASC , 9835 GOETHE ROAD, SUITE 100

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

08/02/2024 and conducted by Evaluator Renee Campbell

COMPLAINT CONTROL NUMBER: 27-AS-20240802154632

Courtney Kegley, Interim Program Director

Staff did not adequately supervise clients in care.

On 08/06/24, Licensing Program Analyst (LPA) Renee Campbell arrived to the Central Valley Training Center Inc.Day Program to open a complaint. LPA Campbell met with Administratory Mary Velazquez and Interim Program Director Courtney Kegley and explained the purpose of the visit. During the course of the investigation, the Department requested incident reports, the roster for clients and staff and interviewed Client 1(C1) and Staff 1(S1). S1 provided statements to the Department confirming that they had lost sight of C1 who is visually impaired while assisting C2 who was throwing up.

Based on the documents reviewed and the interviews conducted, it was determined that staff did not adequately supervise clients in care. The allegation is therefore determined to be substantiated.

The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. This incident is currently under review and a future civil penalty may apply based on 1548 H&S. Failure to correct the deficiencies may also result in civil penalties. Exit interview conducted and appeal rights provided.