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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191592599
Report Date: 01/05/2024
Date Signed: 01/05/2024 12:52:18 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
12/29/2023 and conducted by Evaluator Alma Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20231229095414
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: 81DATE:
01/05/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Erlinda RamosTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff are refusing to allow a client to return to the facility after hospitalization.
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 allegation. LPA met with Assistant Administrator Erlinda Ramos and explained the reason for the visit.

The investigation consisted of the following: LPA conducted interviews with Assistant Administrator Erlinda Ramos, Staff 1-2 (S1-2), and Client 1 (C1). LPA collected copies of Staff and Client Rosters, reviewed C1's file and collected copies of documents pertinent to the investigation.



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

DATE: 01/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024
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 2
Control Number 28-AS-20231229095414
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: 01/05/2024
NARRATIVE
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Investigation revealed the following: Regarding allegation, Staff are refusing to allow a client to return to the facility after hospitalization, it is alleged that the facility was not willing to take a facility client back when they were cleared and discharged from the hospital. Facility was allegedly reluctant and were refusing to take the client back. Interview with Assistant Administrator Erlinda Ramos and S1-2 revealed that they did not state that they would not accept the client back but only informed hospital staff that they had to do a reassessment before the client returned to the facility due to the change in the client's medical condition. Assistant Administrator and S1-2 stated that hospital staff was not understanding and just assumed that the facility was not taking the client back. Assistant Administrator and S1 stated that they are working on reassessing C1 and are working on making the proper medical appointments. They stated that C1 returned back to the facility on 12/29/23. Assistant Administrator and S1-2 stated that C1's health has recently declined but they will not issue an eviction notice but will work with C1 and their placement agency to find them proper placement that will meet the needs of C1. LPA observed C1 at the facility. C1 stated that they returned to the facility on 12/29/23 and the facility has assisted them with their follow up medical appointments, treatment appointments and arranging transportation. C1 stated that they have not been served an eviction notice but stated that they would like to be moved to a hospital type setting due to their health declining and needing a higher level of care. LPA did not observe an eviction notice in C1's file. Based on interviews conducted with facility staff, and facility client, and LPA review of documents there was not enough supportive evidence to concur with the reported allegation.

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 allegation is UNSUBSTANTIATED.

Exit interview held. A copy of the report was provided to Assistant Administrator Erlinda Ramos.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Alma Gonzalez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2