Complaint Investigation Report

565802466-8-2-2023-29-AS-DPEA-CV5VEB-20230828162205

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD. #250

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

03/07/2023 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20230307111341

Licensee not meeting the minimum staffing ratio

Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit today regarding above allegations. LPA met with staff upon arrival and later with Mr. Ramon Banas. Administrator Lorenzo Banas was assisting a client to a doctors appointment. Reason for visit was discussed. During today’s visit, the LPA reviewed staff records from 10am-11:45am. Mr. Lorenzo Banas arrived to facility at approximately 12:15pm. LPA discussed the staff records review conducted today and at the time of the initial visit on 03/16/2023. Based on the review of staff records and interview with Administrator it was revealed that the staff training requirements were not met for 2022-2023. Administrator stated that he continued training with staff this year and will ensure training requirements are met for staff scheduled to work in the home. Regarding allegation Licensee not meeting the minimum staffing ratio: Administrator acknowledged understanding of the minium staffing ratio requirement for the facility (1:1 staff is additional staff and is not to be counted toward the minimum hours per week of additional staff). Facility shall have two (2) 1:1 staff for the two (2) clients and one (1) additional staff. Based on the interviews and records reviewed allegations are deemed substantiated at this time. Deficiencies cited. Exit interview held.Copy of report/appeal rights issued.