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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191221667
Report Date: 05/03/2024
Date Signed: 05/03/2024 01:57:47 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/08/2023 and conducted by Evaluator Jose Gary Tan
COMPLAINT CONTROL NUMBER: 28-AS-20230308125642
FACILITY NAME:ALMA HOUSEFACILITY NUMBER:
191221667
ADMINISTRATOR:CORREA. CARLOSFACILITY TYPE:
735
ADDRESS:1123 ALMA STREETTELEPHONE:
(818) 502-0929
CITY:GLENDALESTATE: CAZIP CODE:
91202
CAPACITY:6CENSUS: 6DATE:
05/03/2024
UNANNOUNCEDTIME BEGAN:
09:17 AM
MET WITH:Mannie George - AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff member verbally abused resident in care.
Staff member financially abused resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit at this facility to further investigate the above allegations. LPA initially met with staff Josefina Sandoval who called the administrator Mannie George who arrived fifteen minutes later. LPA explained the reason for the visit.

LPA conducted physical plant tour at 9:34 AM, requested copies of facility documents relevant to the investigation at 9:53 AM and interviewed staff and residents between 10:00 AM to 12:30 PM. Regarding the allegation that Staff member verbally abused resident in care, it was alleged that Staff #1 (S1) harassed Resident #1 (R1). LPA's record review today between 12:30 PM to 1:30 PM revealed that R1 had a long history of false accusation of staff from different facilities that R1 used to live (please see report on complaint control no.: 28-AS-20230119155348 dated 01/25/23, at Blue Eagle Villas 2 under the Monterey Park Regional Office). Further review also revealed that R1 had been making inaccurate claims against the staff since R1's last psychological evaluation on prior facility dated 02/03/20. (continued on LIC 9099)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 28-AS-20230308125642
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: ALMA HOUSE
FACILITY NUMBER: 191221667
VISIT DATE: 05/03/2024
NARRATIVE
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(continued from LIC 9099)

LPA's interview with two (2) residents present at the facility during this visit between 10:00 AM to 12:30 PM, revealed that no staff yelled or harassed them, nor they experienced or witnessed any physical or verbal altercation with any staff in the facility.

Regarding the allegation that R1 did not get R1's monthly allowance for the month of November 2022. LPA's record review today between 12:30 PM to 1:30 PM revealed that the facility issued check to R1 on 10/16/22 with the amount of $174 and on November 17, 2022, with the amount of $418.40 to purchase TV, laptop and headphone. Further review also revealed that on 07/28/22, R1 was issued $2300 to spend down R1's money in the facility.

Based on the information gathered during this and prior visit, the allegations are deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2