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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191592599
Report Date: 11/07/2022
Date Signed: 11/07/2022 06:14:00 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/02/2022 and conducted by Evaluator Alma Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20221102133819
FACILITY NAME:FOUNDERS HOUSE OF HOPEFACILITY NUMBER:
191592599
ADMINISTRATOR:CRYSEL SANTOSFACILITY TYPE:
735
ADDRESS:18025 PIONEER AVE.TELEPHONE:
(562) 860-3351
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY:98CENSUS: 75DATE:
11/07/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Crysel SantosTIME COMPLETED:
06:15 PM
ALLEGATION(S):
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Staff speak inappropriately to residents in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced complaint visit to gather information pertaining to the above-mentioned allegations. LPA met with Administrator Crysel Santos and Assistant Administrator Marhlyn Sapugay and explained the reason for the visit.

The investigation consisted of: LPA conducted interviews with Crysel Santos and Assistant Administrator Marhlyn Sapugay, Staff 1-7 (S1-7) and Clients 1-9 (C1-9). LPA collected copies of Staff and Client Rosters. LPA reviewed C1-9 facility files, reviewed client care plans (if any) and collected copies Client/ Resident Personal Property and Valuables (LIC621).



(See LIC9099C for continuation)
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Alma Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022
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 5
Control Number 28-AS-20221102133819
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: FOUNDERS HOUSE OF HOPE
FACILITY NUMBER: 191592599
VISIT DATE: 11/07/2022
NARRATIVE
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Investigation revealed the following: Regarding allegation, Staff speak inappropriately to residents in
care, it is alleged that facility staff are verbally abusive to clients at the facility. Facility staff allegedly yell at the clients and the facility has become a hostile environment. Facility staff also refer to clients as "drug addicts." It is also alleged that multiple clients have refused to participate in activities because they want to avoid being yelled at. Clients have told told staff to treat them with respect but staff continue to speak to clients in an inappropriate manner. Interviews conducted with 6 out of 9 staff revealed that there are two staff at the facility that speak inappropriately to clients in the facility. 4 out of 9 staff stated that two facility staff talk down to the clients, and talk to clients in a very loud and aggressive tone and have referred to the clients as drug addicts while also talking openly about clients drug test results. 3 out of 9 clients stated that two facility staff have spoken to them in a loud and aggressive tone. 1 client stated that staff have put them down and they know that staff have to be hard on the clients as they are enforcing the rules and it is what is best for them. 1 client stated that staff have talked down to them and not treated them in an equal basis. 1 client stated that there is one staff at the facility that yells at clients and openly discloses drug results as well as referring to some clients as drug addicts. Interviews with 9 out 9 of clients did not reveal any concerns regarding staff speaking in different languages and also stated that they like to attend activities provided by the facility.

Based on interviews conducted with facility staff and clients, the preponderance of evidence standard has been met, therefore the above allegation(s) are found to be SUBSTANTIATED. Deficiencies are being cited. See LIC 9099D.

Exit interview was conducted with Assistant Administrator Marhlyn Sapugay. A copy of the report and appeal rights were provided.





NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Alma Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 28-AS-20221102133819
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: FOUNDERS HOUSE OF HOPE
FACILITY NUMBER: 191592599
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/07/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
11/08/2022
Section Cited
CCR
80072(a)(1)
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80072 Personal Rights. (a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons.
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Administrator shall conduct a staff in-service training on Personal Rights, Zero Tolerance, and shall ensure that the personal rights of clients are not violated.
Administrator shall provide staff training and submit sign-in sheets with staff names and signatures, date, time/duration of training, name of the presenter and curriculum used for this training to LPA POC due date.
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This requirement was not as met evidenced by:

Based on interviews conducted facility staff and facility clients, it was revealed that two facility staff have spoken to clients in care inappropiately by talking to them in loud tones and calling some clients "drug addits" and have also openly disclosed drug test results; which poses an immidiate health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Alma Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/07/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/02/2022 and conducted by Evaluator Alma Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20221102133819

FACILITY NAME:FOUNDERS HOUSE OF HOPEFACILITY NUMBER:
191592599
ADMINISTRATOR:CRYSEL SANTOSFACILITY TYPE:
735
ADDRESS:18025 PIONEER AVE.TELEPHONE:
(562) 860-3351
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY:98CENSUS: 75DATE:
11/07/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Crysel SantosTIME COMPLETED:
06:15 PM
ALLEGATION(S):
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Staff do not safeguard resident's personal belongings
Staff do not follow resident's care plan
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alma Gonzalez conducted an unannounced complaint visit to gather information pertaining to the above-mentioned allegations. LPA met with Administrator Crysel Santos and Assistant Administrator Marhlyn Sapugay and explained the reason for the visit.

The investigation consisted of: LPA conducted interviews with Crysel Santos and Assistant Administrator Marhlyn Sapugay, Staff 1-7 (S1-7) and Clients 1-9 (C1-9). LPA collected copies of Staff and Client Rosters. LPA reviewed C1-9 facility files, reviewed client care plans (if any) and collected copies Client/ Resident Personal Property and Valuables (LIC621).



(See LIC9099C for continuation)
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Alma Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 28-AS-20221102133819
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: FOUNDERS HOUSE OF HOPE
FACILITY NUMBER: 191592599
VISIT DATE: 11/07/2022
NARRATIVE
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Investigation revealed the following: Regarding allegation, Staff do not safeguard resident's personal belongings, it is alleged that if there are any clients that do not want to take showers, staff will throw the client's clothes and pillows out. It is also alleged that staff will lie to clients and tell them that their clothes had roaches and needed to be thrown out. There are no roaches at the facility and this is said to the clients because staff do not want to clean the client's items. Interviews with 5 out of 7 staff revealed that client's belongings are not thrown out to due them being dirty because the clients do not shower. Staff stated that laundry for clients which includes the linens is done on a weekly basis. Administrator Santos and Assistant Administrator Sapugay denied the allegation and stated if a client were to lose something, the facility would replace it and denied ever throwing any of the client's personal belongings and lying to clients that there belongings had roaches on them. 7 out of 9 clients stated that none of their items have gone missing and they would tell staff if their items went missing. 7 out of 9 clients stated that facility staff have not thrown any of their belongings out for being dirty or have told them that their belongings had roaches on them. LPA reviewed C1-9's files and observed that all clients had a completed personal property and valuables inventory list.

For allegation, Staff do not follow resident's care plan, it is alleged that a facility staff bribe clients to participate in activities by offering them cigarets even though it goes against some of the resident's care plan. Interviews with 7 out of 7 staff revealed that clients are not bribed to attend or participate in activities. Administrator Santos and Assistant Administrator Sapugay stated that care plans are followed for all clients who have one. They stated that at times they will reward some clients with a cigarette but it does not happen too often as clients enjoy participating in the activities that the facility offers. 9 out of 9 clients stated that they are not bribed or offered any cigarettes or anything else to participate in activities. 5 out of 9 clients stated that they enjoy the activities and do not need to be bribed to attend. LPA reviewed C1-9's files and observed that the facility is following clients care plans and files are properly flagged to distinguish if a client has a care plan.

Based on interviews conducted with facility staff and clients and LPA review of records, there was not enough supportive evidence to concur with the reported allegations.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview held. A copy of the report was provided to Assistant Administrator Marhlyn Sapugay.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Alma Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/07/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5