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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191593145
Report Date: 01/19/2023
Date Signed: 01/19/2023 04:44:49 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
12/27/2022 and conducted by Evaluator Jewel Baptiste
COMPLAINT CONTROL NUMBER: 28-AS-20221227073959
FACILITY NAME:RAMONA GUEST HOME - BELLFLOWERFACILITY NUMBER:
191593145
ADMINISTRATOR:KANIEL, STANLEYFACILITY TYPE:
735
ADDRESS:9555 RAMONA STTELEPHONE:
(562) 867-1002
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY:29CENSUS: 24DATE:
01/19/2023
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Administrator Stanley Kaniel TIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Facility failed to maintain client's personal information confidential.
INVESTIGATION FINDINGS:
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On 01/19/2023 at 9:25 a.m., Licensing Program Analyst (LPA) Jewel Baptiste and Licensing Program Manager (LPM) Lisa Hicks conducted a subsequent complaint investigation in conjunction with annual inspection to investigate the allegation listed above. LPA met with administrator Stanley Kaniel and explained the reason for the visit. The initial complaint visit was conducted on 1/04/2023.

During the initial visit LPA toured the perimeter and obtained resident roster and staff roster.

During today’s visit LPA toured the facility. LPA interviewed a total of 5 residents who will be referred to as R1 through R5. LPA also interviewed the administrator, Stanley Kaniel.

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: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023
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-20221227073959
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: RAMONA GUEST HOME - BELLFLOWER
FACILITY NUMBER: 191593145
VISIT DATE: 01/19/2023
NARRATIVE
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The investigation reveals the following: Regarding “Facility failed to maintain client's personal information confidential.” it is alleged that the facility allowed a nurse practitioner to expose client’s confidential information to other clients. Administrator Stanley Kaniel denied the allegation, stating a doctor came to the facility and visited their patients in front of other clients, but the facility staff was not around during the incident. 5/5 clients denied the allegation stating the facility never gave out their confidential information to anyone.

Based on LPA's interviews, 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
allegation is UNSUBSTANTIATED.

Exit interview conducted with Stanley Kaniel 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: 01/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/19/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2