<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191290706
Report Date: 06/20/2024
Date Signed: 06/20/2024 04:50:03 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.RO, 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
12/08/2023 and conducted by Evaluator Rosaura Valenzuela
COMPLAINT CONTROL NUMBER: 31-AS-20231208151309
FACILITY NAME:HAMILTON HOUSEFACILITY NUMBER:
191290706
ADMINISTRATOR:PETERSON, JANICEFACILITY TYPE:
735
ADDRESS:739 W. GLENOAKS BLVD.TELEPHONE:
(818) 502-9188
CITY:GLENDALESTATE: CAZIP CODE:
91202
CAPACITY:11CENSUS: 6DATE:
06/20/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Manny George, AdministratorTIME COMPLETED:
04:38 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not provide a client with an appropriate sleeping arrangement

Staff are mishandling a client's personal funds

Staff have not repaired a client's bedroom door

Staff is not present for a significant amount of time in the facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Rosaura Valenzuela and Leizel De La Cerra conducted an unannounced visit to deliver the findings for the above noted allegations. LPA met with Administrator Manny George and explained the reason for the visit.
It was reported that staff did not provide a client with an appropriate sleeping arrangement. One of the wheels in Client #1 (C1)’s bed frame was missing, causing the bed to be lopsided. To investigate this allegation, on 12/14/2023, LPA Valenzuela conducted a physical plant tour at 12:40pm. LPA observed that C1’s bed was no longer lopsided. Between 1:05pm and 2:00pm, staff interviews were initiated. Interviews revealed that the wheels of the bed frame had been removed. C1 can sleep in their bed without sliding down.
Based on interviews and observation, there is not sufficient information to support this allegation. Therefore, this allegation is UNSUBSTANTIATED at this time.

Continue on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
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 3
Control Number 31-AS-20231208151309
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: HAMILTON HOUSE
FACILITY NUMBER: 191290706
VISIT DATE: 06/20/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
It was alleged that staff is mishandling a client’s personal funds. C1 wants to receive their money in the beginning of the month. To investigate this allegation on 12/23/2024 between 1:05pm and 2:00pm, staff interviews were initiated. Interviews revealed that C1 gets their money in the middle of the month from DCFS. When C1 turns 21 years old then they will receive money from the Regional Center. Between 3:00pm and 4:00pm, LPA reviewed facility files. Files confirmed what staff told LPA.

Based on interviews and observation, there is not sufficient information to support this allegation. Hence, this allegation is UNSUBSTANTIATED at this time.

It was reported that staff have not repaired a client’s bedroom door. To investigate this allegation, at 12:40pm, LPA conducted a physical plant tour. LPA tested the door and did not observe it to be in disrepair. The doorknob worked and the door was not falling off or broken. Between 2:00pm and 3:00pm, resident interviews were initiated. Interviews revealed that C1 thought the door was making noises, but that it currently was not making any sounds.

Based on interviews and observation, there is not sufficient information to support this allegation. Therefore, this allegation is UNSUBSTANTIATED at this time.

It was alleged that staff is not present for a significant amount of time in the facility. To investigate this allegation, between 1:05pm and 2:00pm, staff interviews were initiated. Interviews revealed that the Staff #1 (S1) comes to the facility at different times and days. S1 is present at least 20 hours a week. Between 2:00pm and 3:00pm, LPA initiated resident interviews. Interviews revealed that S1 comes mostly in the evening and meets with other staff.

Continue on 9099-C

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20231208151309
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: HAMILTON HOUSE
FACILITY NUMBER: 191290706
VISIT DATE: 06/20/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on interviews there is not sufficient information to support this allegation. Hence, this allegation is UNSUBSTANTIAED at this time.

No health and safety issues noted at the time of this visit.

Exit interview conducted and a copy of the report was issued.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3