Complaint Investigation Report

On 11/17/2022, LPA KaSandra Lopez conducted a subsequent inspection at the facility and conducted an interview with C2. No immediate health or safety concerns were observed during the inspection. On 12/06/2022 during a subsequent visit, LPA Lopez conducted an interview with C1 at 3:37 p.m. On 02/02/2023 LPA Lopez conducted interviews with two (2) additional staff members. Interviews with C1, C2 and two (2) facility staff were also conducted on 05/12/2023, 06/26/2023 and 07/13/2023 during related complaint investigations (CC#29-AS-20220317170723, CC#29-AS-20230511091829 and CC#29-AS-20230622110504). Additionally, the complaint received on 05/11/2023 (CC#29-AS-20230511091829), was referred to Community Care Licensing Divisions Investigations Branch (IB) and assigned to Investigator Laura Garcia. Moreover, LPA Lopez attempted to conduct an interview with C3 however, was unable to due to C3 being non-verbal and inability to communicate.

On 06/12/2023, from approximately 10:30 a.m. to 1:00 p.m., Investigator Garcia conducted interviews with the Tri-Counties Regional Center (TCRC) Services Coordinator (SC), facility Administrator and C1’s Conservator; on 06/14/2023, at approximately 10:30 a.m., with TCRC Quality Assurance Specialist (QAS); on 08/08/2023, from approximately 12:00 p.m. to 1:30 p.m., with staff and C2. In addition, Investigator Garcia reviewed facility file documents relevant to the complaint. A request for police reports was made to the Oxnard Police Department (PD), however no reports were found on file. A sequential interview with C1 was not recommended by C1’s conservator and TCRC due to C1’s possibility of mental confusion and continued attention-seeking behaviors.

According to the TCRC Individual Program Plan (IPP), dated 12/27/2018, C1 has an extensive history of sexually inappropriate behaviors. C1 was referred for an Applied Behavioral Analysis (ABA) from SAGE services to address sexually inappropriate behaviors, physical aggression, property destruction and elopement. C1 is deaf and uses American Sign Language (ASL) for communicating. C1 is diagnosed with mood disorder, unspecified psychosis, and epilepsy. The assessment, dated 12/14/2021, further stated previous concerns of C1’s history of lying and fabricating stories. Additionally, caregivers also previously reported concerns of C1’s wandering from the home, sexually inappropriate behaviors, aggression, and frequent hospital check-ins which appear to have an attention seeking function.

Report will continue on LIC9099-C (3rd page).