Complaint Investigation Report

Regarding the allegation that the licensee is not properly reporting unusual incident requests, S7 reported that only the administrator did the incident reports. S8 and S9 said that all staff had been trained on how to write incident reports, but LPA Campbell observed no incident reports that had been written by staff. LPA Campbell was able to confirm that incident reports had been received regarding client hitting staff on 04/10/25, and self-injurious behavior on 04/28/2025.

Regarding the allegation that facility staff improperly restrain clients, S7 and S9 report not restraining clients and that they are aware that staff are not allowed to restrain clients. S1 recounted being guided by the administrator in redirecting a client physically when they attacked staff. No restraints were involved.

Regarding allegation that staff are not ensuring clients receive quality meals, S9 stated “we feed them good. I get jealous. “ S1 recounted a variety of meals from March and S7 reported that menus may change due to not having a specific ingredients so meal items will be substituted if they are missing and S5 acknowledged that there are some clients who are just “picky eaters who only want meat and toast.”

Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore these allegations are UNSUBSTANTIATED. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 6, no deficiencies are cited. Exit interview was held and a copy of report was given to Cristi Mamac, Caregiver.