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32 | According to interviews, C2 show understanding that the inappropriate touching of other clients is not permitted. Per C2’s individual program plan and quarterly updates, the client’s sexualized behavior is known and require staff’s monitoring and redirection. C2 is oriented and can express remorse. C2 is reported to have indeterminate targets for known sexualized behaviors, both staff and clients in the home experience inappropriate comments made by C2.
Per C1’s individual program plan dated January 29, 2018 and behavioral annual assessment December of 2019, it is clear through review of the assessments that C1 requires constant supervision for various behavioral and safety reasons, elopement, climbing furniture, and frequent seizures.
Even though facility met the staffing ratios of one staff for every two clients set by SDRC, based on C1 and C2’s assessments, both clients require constant supervision to prevent unsafe behaviors. C1 is determined to be non-verbal and unable to advocate for self. There is documented history of repeat victimization of C1 by C2. It was determined that facility staff were aware of C2’s history, and therefore, did not provide the appropriate supervision that lead to the inappropriate sexual interaction between C1 and C2. Even though the interaction was brief, the break in supervision allowed C1’s personal rights to be violated.
The preponderance of the evidence has been met; therefore, a deficiency is being cited in accordance with California Code of Regulations, Title 22, Division 6, Chapter 1 and listed on the 9099D.
A Plan of Correction was developed with the Administrator. A copy of this report and Licensee’s/Appeal Rights (9058 01/16) were provided to the Administrator, whose signature on this form confirms receipt of these documents. |