191592599-2-27-2023-28-AS-LHIS-CQ5NVS-20230321104823

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191592599
Report Date: 02/27/2023
Date Signed: 02/27/2023 03:10:38 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
02/17/2023 and conducted by Evaluator Jewel Baptiste

COMPLAINT CONTROL NUMBER: 28-AS-20230217141838

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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Staff do not provide resident with quantity of food to meet the needs of the resident
Staff bagged wet clothes of resident and put them in room
Staff are threatening the resident

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 administrator toured the Kitchen, dining room, laundry room and inspected the food supply. LPA obtained resident/ staff roster, menu (1 month), and 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-20230217141838

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 " Staff do not provide resident with quantity of food to meet the needs of the resident.", it is alleged that the facility does not provide enough food for the residents. During the visit LPA toured the facility and observed 7 days of perishables and 2 days nonperishable. The interview with the Administrator confirmed the facility provides 2 and sometimes 3 meals to residents who request additional food. The administrator also stated the facility has never refused food to residents who ask for additional meals. 3/3 staff interviews confirmed that residents are provide additional meals and have never complained about not receiving enough food. 8/9 residents confirmed the facility provide them with enough food. 1/9 residents refused the interview.

The investigation reveals the following: In regard to "Staff bagged wet clothes of resident and put them in room ", it is alleged that the facility bagged wet clothes and put into the resident’s room. The interview with the Administrator reveals all residents wash their own clothes with the assistance of a staff member. All residents have schedule days to wash their clothes. The resident will bring their clothes to the laundry room and a staff will assist them in putting the clothes in the laundry. The resident will come back after 30mins to put their clothes in the dryer. If the resident does not come back the staff will dry the clothes for the resident. 3/3 staff denied the allegation stating the residents are never left alone. 8/9 residents confirmed they have not had any issues with the laundry, and they have never had wet clothing in their room. 1/9 residents refused the interview.

The investigation reveals the following: In regard to " Staff are threatening the resident.", it is alleged that the facility Administrator is threatening the resident. The Administrator denied the allegation, stating that no one in the facility has threaten the residents. The administrator also stated they have provided eviction notices to some residents for breaking house rules but never threaten the resident. 3/3 staff denied the allegation. 8/9 residents confirmed that staff has never threaten them. 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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