191592599-4-6-2023-28-AS-RORN-CQUQ4Q-20230413115043

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191592599
Report Date: 04/06/2023
Date Signed: 04/06/2023 03:23:50 PM

Unsubstantiated

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
03/30/2023 and conducted by Evaluator Alberto Lopez

COMPLAINT CONTROL NUMBER: 28-AS-20230330150250

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: 81	DATE:	04/06/2023
		UNANNOUNCED	TIME BEGAN:	10:11 AM
MET WITH:	Crysel Santos		TIME COMPLETED:	03:33 PM

ALLEGATION(S):

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Resident's needs are not being met.
Staff forced resident to change to medical provider.
Staff did not safeguard resident's personal belongings.

INVESTIGATION FINDINGS:

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LPA Alberto Lopez made unannounced initial 10 day visit to investigate the above allegations. LPA met with Administrator Crysel Santos and discussed the purpose of the visit.

The investigation consisted of interviews with five staff (S1-S5), Nine clients (C1-C9). LPA reviewed and obtained C1 documents, Personnel and staff rosters, C1 property and valuables list. C1 Physicians report, C1 Admission agreement.

In regards to Allegation: Client's needs are not being met. It is alleged that client's needs are not being met by the facility and that bed sheets have holes from using too much bleach and that facility does not allow client to wash client own clothes and that no privacy is accorded when meeting with client's' doctor.

Continued on 9099C

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023

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-20230330150250

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: 04/06/2023

NARRATIVE

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S1 stated facility staff is here to assist clients with their laundry of personal clothing but clients are responsible to bring it to the laundry room and place it in the washing machine and take out of the washing machine and place it in the dryer and take it back to their rooms. Laundry assistant stated that resident's do their own laundry with some assistance if needed like providing them with detergent or placing the laundry in the washing machine or dryer. Facility will assist clients that cannot do their own laundry but will not allow family or others use the laundry facilities. The facility does full laundry service for linens, towels and sheets. LPA toured several rooms randomly and did not observed any bed sheets with holes or uncleaned sheets including C1
The facility has doctor that tends to clients needs in house and brings a mobile vehicle that accords privacy, also, the facility has rooms in facility that provide privacy to clients in the facility. LPA interviewed five staff and all five staff denied the allegations and stated they provide all clients needs and privacy. LPA interviewed nine clients and 8/9 could not collaborate the allegations and 8/9 stated that all their needs are being met. C1 refused to answer questions.

Regarding Allegation: Staff forced resident to change to medical provider. It is alleged that facility staff forced client to change to in house doctor as condition to remain at facility. Administrator stated that clients are encouraged to use in house doctor for client's convenience but never are clients force to change their medical provider. Administrator stated that C1 medical provider is managed my C1 conservator and no change has been made in that regard. LPA interviewed 5 staff and all 5 staff denied that allegation and stated that no client is forced to do anything at the facility including changing medical provider. LPA interviewed 9 clients and 8 of 9 could not collaborate the allegations and all 8 stating they have never been asked by facility to changed medical provider and are satisfied with arrangements at facility. C1 refused to answer questions. Conservator (W1) for C1 stated that W1 has not given up C1 right to choose a medical provider and C1 was not forced to change medical provider.

Regarding Allegation: Staff did not safeguard resident's personal belongings. It is alleged that resident is missing 2 articles of clothing. W1 could not identify article of clothing that C1 is missing. C1 refused to answer questions. LPA interviewed 5 staff and 5/5 denied the allegations. LPA interviewed 9 clients and 6/8 stated they have never lost any personal property or clothing while at facility.

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: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/06/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/06/2023

LIC9099 (FAS) - (06/04)

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