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32 | [Continued from LIC9099]
During the investigation, multiple staff interviews revealed that clients are separated based on the levels of care. Clients who rely on staff to perform all Activities of Daily Living (ADL) are located in the Multi-Purpose Room (MPR). The MPR consistently has two staff present, while the remaining classrooms’ staff depend on the client census of the day.
Interview with Program Director Munoz revealed that there are ten clients enrolled who rely on staff to perform all ADLs, of which seven to eight are in attendance daily. Program Director Munoz confirmed that of these clients in care none have a specified ratio requirement for staff by San Diego Regional Center (SDRC). The records reviewed by LPA did not reveal a specified staff ratio requirement set in place by SDRC and the clients who rely on staff for all ADLs are located in the MPR.
On 02/12/25 at 11:33 AM, LPA accompanied by Program Director Munoz toured each classroom in the facility. LPA observed one (1) staff member to seven (7) clients in the Culinary Skills room, three (3) staff members to twenty (20) clients in the Cafeteria & Kitchen room, one (1) staff member to seven (7) clients in the Recreation Room, and two (2) staff members to six (6) clients in the MPR. LPA observed communication between staff via handheld radio when coverage for a classroom was needed.
Based on interviews, direct LPA observations and records review, the investigation did not yield a preponderance of evidence to conclude that the licensee is not meeting staff-client ratio requirements. Based on the foregoing, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Program Director Munoz & Assistant Program Director Wilson , to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
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