191592599-2-27-2023-28-AS-LHIS-CQ5P6H-20230321110222

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191592599
Report Date: 02/27/2023
Date Signed: 02/27/2023 03:09:52 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/24/2023 and conducted by Evaluator Jewel Baptiste

COMPLAINT CONTROL NUMBER: 28-AS-20230224144334

FACILITY NAME:	FOUNDERS HOUSE OF HOPE		FACILITY NUMBER:	191592599
ADMINISTRATOR:	CRYSEL SANTOS		FACILITY TYPE:	735
ADDRESS:	18025 PIONEER AVE.		TELEPHONE:	(562) 860-3351
CITY:	ARTESIA	STATE: CA	ZIP CODE:	90701
CAPACITY:	98	CENSUS: 80	DATE:	02/27/2023
		UNANNOUNCED	TIME BEGAN:	11:05 AM
MET WITH:	Administrator Crysel Santos		TIME COMPLETED:	03:24 PM

ALLEGATION(S):

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Facility staff had client(s) sign a ledger that was not accurate.

INVESTIGATION FINDINGS:

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On 02/27/2023 at 11:05 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted a complaint investigation received on 2/17/2023 in conjunction with a complaint investigation received on 2/24/2023 to investigate the allegations listed above. LPA met with administrator Crysel Santos and explained the reason for the visit.

During today’s visit LPA and assistant administrator toured the Kitchen, dining room, laundry room and inspected the food supply. LPA obtained resident/ staff roster, menu (1 month), laundry schedule. LPA also interviewed: administrator and a total of two (3) staff who shall be referred to as S1, S2 and S3. LPA interviewed a total of 9 residents who shall be referred to as: R1 through R9. LPA conducted file review for 3 residents and received a copy of their P&I ledgers.

Report continued on 9099c

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Jewel Baptiste
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2023

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 28-AS-20230224144334

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: FOUNDERS HOUSE OF HOPE	FACILITY NUMBER: 191592599
	VISIT DATE: 02/27/2023

NARRATIVE

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The investigation reveals the following: In regard to " Facility staff had client(s) sign a ledger that was not accurate.", it is alleged that the facility is having residents to sign a ledger that they do not understand. The Administrator denied the allegation stating that resident sign a ledger to receive their P&I money. The ledger has an account of when the money is received, how much the resident withdrawal and a balance. Both the resident and the administrator sign the ledger to keep an accurate account of the residents’ funds. 3/3 staff denied the allegation. 5/9 residents confirmed that they understand the ledger they are signing. 2/9 residents stated they are their own payee and do not receive money from the facility. 1/9 residents stated they have no issues receiving their P&I money. 1/9 residents refused the interview.

Based on LPA's observation, interviews, and file review the investigation revealed: Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted with Administrator Crysel Santos and a copy of this record provided.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Jewel Baptiste
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2023

LIC9099 (FAS) - (06/04)

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