Complaint·August 12, 2024

Based on record review of Special Incident Reports (SIRs), facility staff observations and interviews, it is confirmed that R1 has aggressive and sexualized behaviors, but no safety plan was put in place. This Department investigated the allegation: Staff did not following reporting requirements. Record review of staff observations reveal that incidents occurred between R1 and R2 were not reported as required. The facility did not submit SIRs or reports of suspected abuse (SOC 341) as required for incidents which occurred on 3/13/24, 3/21/24 and 3/27/24. The incidents resulted unsafe, inappropriate interactions between R1 and R2. Additionally, facility did not report an incident which occurred 3/28/24 between R1 and R2 to law enforcement until the following day. Interviews reveal that that staff reported incidents and concerns to which were not reported to CCLD, Ombudsman or Law Enforcement as required. Based on record review and interviews, The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED . Deficiencies are being cited in accordance with California Code of Regulations on the attached LIC 9099-D in the areas of Basic Services and Reporting Requirements. An Immediate Civil penalty is assessed on the attached LIC421IM for absence of care and supervision. An exit interview was conducted and Plan of Correction was developed. A copy of this report and Appeal Rights were discussed and left with AD whose signature on this form confirms receipt of these documents.