complaint·March 4, 2024

Interview was conducted with Client C1 at 2:45 PM. Client C 2 was in the hospital. In regards to the allegation Staff did not follow PKU diet orders for residents, based on interviews conducted and information gathered the Administrator stated that it is true that they did not follow PKU diet orders and was unaware of it. Staff S 1 stated that it was true that they were unaware of a PKU diet, but once Regional Center told them they implemented it. Interview with Client C 1 who stated he gets all his meals and is aware that he needs to be on a PKU diet. It should be noted that San Gabriel Pomona Regional Center on Corrective Action Plan 01/22/24 had substantiated findings. Review of files for C1 and C2 noted that they have PKU and needed to be on a special diet. In regards to the allegation Staff did not implement the IPP for residents , based on interviews conducted and information gathered, Administrator stated that she did not implement what was in the Initial Program Plan (IPP) in which the information was included in the IPP Risk Section for the reports written for 2016, 2019 and 2022. Interview with Staff S 1 who confirmed that they did not implement what was in Client C1 and C2's Initial Program Plan (IPP). It should be noted that San Gabriel Pomona Regional Center Corrective Action Plan 01/22/24 had substantiated findings. In regards to the allegation Administrator did not assess the needs of residents prior to placement, based on interviews conducted and information gathered Administrator stated that she had failed to review 2016 IPP prior to placement for C1 and C2. Interview with Staff S 1 who confirmed that the IPP was not reviewed for Client's C 1 and C 2 prior to placement. Interview with Client C 1 who stated he is on a PKU diet per doctor's orders. It should be noted that San Gabriel Pomona Regional Center on Corrective Action Plan 01/22/24 had substantiated findings. B ased on observations and interviews which were conducted and record review, the preponderance of evidence standard has been met, therefore the allegations Staff did not follow PKU diet orders for residents, Staff did not implement the IPP for residents, and Administrator did not assess the needs of residents prior to placement. are found to be Substantiated. California Code of Regulations, (Title 22, Division & Chapter number), are being cited on the attached LIC 9099D.