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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197600299
Report Date: 09/26/2024
Date Signed: 09/26/2024 02:20:10 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, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/16/2024 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20240116160946
FACILITY NAME:RICHWAL CENTER II, THEFACILITY NUMBER:
197600299
ADMINISTRATOR:FLORENCE ORIMOLOYEFACILITY TYPE:
735
ADDRESS:8915 WOODLEY AVE.TELEPHONE:
(747) 529-6514
CITY:NORTH HILLSSTATE: CAZIP CODE:
91343
CAPACITY:4CENSUS: 4DATE:
09/26/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Brenda FrazierTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Facility staff caused bruising to a resident while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent visit for the above allegation. LPA met with caregiver, Brenda Frazier, and explained the reason for the visit.

--- Facility staff caused bruising to a resident while in care.

It was alleged that Resident #1 (R1) was physically abused by staff. To investigate the allegation, LPA conducted a physical plant tour at around 10:00a.m., interviewed two (02) staff from around 11:00a.m. to 12:00p.m. and interviewed two (02) out of four (04) residents from around 12:00p.m. to 1:00p.m. LPA was unable to interview other residents. During the physical plant tour, LPA observed all residents were clean, well-groomed and did not have signs of physical abuse. During interviews with staff, all staff stated they have never physically or verbally abused any residents or witnessed any staff abusing residents. During interviews with residents, all interviewed residents stated they are treated with respect and dignity.
(CONT. on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024
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 31-AS-20240116160946
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: RICHWAL CENTER II, THE
FACILITY NUMBER: 197600299
VISIT DATE: 09/26/2024
NARRATIVE
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Residents added they have never witnessed staff abuse R1 or any other resident.

Based on interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards were noted during the visit.

Exit interview was conducted and a copy of the report was issued.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 09/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2