191290706-8-30-2023-31-AS-NMAN-D72UY9-20240710155932

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191290706
Report Date: 08/30/2023
Date Signed: 08/30/2023 01:50:07 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
08/24/2023 and conducted by Evaluator Rosaura Valenzuela

COMPLAINT CONTROL NUMBER: 31-AS-20230824154912

FACILITY NAME:	HAMILTON HOUSE		FACILITY NUMBER:	191290706
ADMINISTRATOR:	PETERSON, JANICE		FACILITY TYPE:	735
ADDRESS:	739 W. GLENOAKS BLVD.		TELEPHONE:	(818) 502-9188
CITY:	GLENDALE	STATE: CA	ZIP CODE:	91202
CAPACITY:	11	CENSUS: 7	DATE:	08/30/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Carlos Correa, Administrator		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff are not properly safeguarding a client's personal belongings

Staff are sleeping in the common areas

Staff are interfering with a client's activity

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced complaint visit for the above noted allegations. LPA met with Administrator Carlos Corre . The purpose of the visit was explained.

It was reported that staff are not properly safeguarding a client's personal belongings. To investigate this allegation on 8/30/2023 between 11:25am and 11:50am, staff interviews were initiated. Interviews revealed that Client #1 (C1) has many personal belongings in their shared room. Staff has offered to give C1 additional storage space in a hallway closet that is adjacent to their room. C1 refuses to put their items their and instead wants to use another hallway closet that is located quite a distance away from their room. C1 walks with a gait and creates a lot of noise when they walk through the hallway. Other clients get upset due to the commotion and do not want C1 to have access to the hallway closet that is furthest from the entry way. C1 used to have some of their belongings stored in the garage, but it is currently being remolded and will be uses as an office.
Continue on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20230824154912

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: 08/30/2023

NARRATIVE

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Between 10;00am and 10:30pm, LPA conducted a physical plant tour. LPA observed C1's shared room to be cluttered. Facility has provided C1 with extra pieces of furniture in order to keep items organized. The closet in the hallway adjacent to C1's room has much storage space. Between 12:30pm and 12:45pm, LPA attempted to speak to C1, but they refused since they were getting ready to leave the facility.

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

It was alleged that staff are sleeping in the living room common area. To investigate this allegation, Between 10:00am and 10:30am, LPA conducted a physical plant tour. LPA did not observe any beds in the living room or other common areas, but did see a folding bed in an empty room. Between 11:25am and 11:50am, staff interviews were initiated. Interviews revealed that none of the staff are sleeping in the living room or any other common area and that the empty room with the folded bed is were staff now rest.

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

It was reported that staff are interfering with a client's activity of being on their computer. To investigate this allegation, between 11;25pm and 11:50am, LPA initiated staff interview. Interviews revealed that C1 an other clients are allowed to be in common areas and do activities. When LPA was setting up equipment between 9:40am and 9:50am, they observed C1 in the dinning room with the computer on. LPA never heard or observed staff, telling C1 that they could not be there.

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

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

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE: 08/30/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/30/2023

LIC9099 (FAS) - (06/04)

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