complaint·June 5, 2024

Interviews conducted with four out of five staff revealed that there was no ouch report given to the parent of C1 on 3/28/24, stating the dad did not seem to be concerned with the injury and hurriedly walked out. Interview with one out of four staff stated the ouch report was written, however the father of C1 did not want to wait for it. Other confidential interviews disclosed that an incident report was not written prior to A2 arriving to pick up C1. Interview with Director revealed that an ouch report for incident that occurred on 3/28/24 was emailed to parent of C1 on 4/03/24. Confidential interviews disclosed that the director stated staff would be retrained on writing ouch reports due to the incident that occurred on 3/28/24 with C1. Record review revealed that ouch report was emailed to family of C1 on 04/03/24. Record review disclosed the incident report was reported to Community Care Licensing on 04/03/24. Based on interviews and record review, the preponderance of evidence has been met, and the allegation that staff did not report incident to authorize representative in writing is substantiated. The facility is being cited for Title 22, chapter 12, section; 102416.2 (f) Reporting requirements. A copy of this report, appeal rights and Notice of Site Visit were provided to Director. The Notice of Site Visit was posted by the Director prior to LPA leaving the facility and the Director was reminded this notice must be posted for 30 days. Based on interviews, the allegation that children sustained injuries while in care due to lack of supervision may have occurred, however is not supported or proven by evidence. Therefore, the allegation is unsubstantiated. A copy of this report, appeal rights and Notice of Site Visit were provided to Director. The Notice of Site Visit was posted by the Director prior to LPA leaving the facility and the Director was reminded this notice must be posted for 30 days.