Complaint Investigation Report

LPA also questioned 6 staff members on site at the time of visits on 6/17/2025 and 9/30/2025 about the safety of the environment. 6 of 6 staff members interviewed stated that the environment was safe for staff and clients. LPA also asked if there had ever been any altercations between clients. 6 of 6 staff stated that there had been no altercations between clients. According to the Administrator, there had been one client in the past who had some verbal outbursts and threw a chair but was easy to de-escalate and no clients had brought up any concerns. LPA reviewed past incident reports and found no reports involving physical altercations. One incident report involving two clients back on 1/8/2025 was only verbal, not physical and multiple staff including two behaviorists, a clinician, and psychiatrist were able to support and de-escalate the client. Based on the interviews of clients and staff and the information in the Incident Report of 1/8/25 the allegation that Staff does not ensure a safe environment for residents in care is UNSUBSTANTIATED. Although the allegation may have occurred there is not a preponderance of evidence therefore the allegation is unsubstantiated.

The complaint alleges that Staff are not properly trained. LPA reviewed training records of 8 of 20 staff which indicated that training was complete on 8 of 8 inspected. According to interview with Administrator, staff are trained as per Title 22 regulations. In addition, staff receive trainings at regular staff meetings and training per Yolo County Care Continuum (YCCC) protocols and guidelines. LPA interviewed staff on site during a visit on 9/30/2025 and 3 of 3 staff members stated that they received adequate training and felt properly trained. Interview with Administrator on 09/30/2025 stated that staff are provided with resources including the facility’s psychiatrist, behaviorists and administrator for any questions regarding clients. Based on the records reviewed, interviews with staff and administration at the facility the allegation that Staff are not properly trained is Unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence therefore the allegation that Staff are not properly trained is unsubstantiated