197602838-4-18-2024-31-AS-NMAN-D58M8R-20240513092331

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197602838
Report Date: 04/18/2024
Date Signed: 04/18/2024 03:55:50 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
09/21/2023 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20230921114214

FACILITY NAME:	TRUDEZ HOME CARE		FACILITY NUMBER:	197602838
ADMINISTRATOR:	LOPEZ,WALDITRUDEZ		FACILITY TYPE:	740
ADDRESS:	23311 DALBEY DRIVE		TELEPHONE:	(661) 287-6191
CITY:	VALENCIA	STATE: CA	ZIP CODE:	91355
CAPACITY:	6	CENSUS: 3	DATE:	04/18/2024
		UNANNOUNCED	TIME BEGAN:	10:11 AM
MET WITH:	Josie Paras		TIME COMPLETED:	04:05 PM

ALLEGATION(S):

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Staff yells at residents in care.
Staff handled resident in a rough manner.
Staff did not afford resident privacy.
Due to lack of supervision, residents go into other resident's rooms and go through personal belongings.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility to investigate the above allegation. LPA met with Waldi Lopez and explained the reason for the visit.

--- Staff yells at residents in care.

It was alleged that the facility staff yells and screams at residents. To investigate the allegation, on 09/06/2023, interviewed two (02) staff from 10:30 AM – 12:00 PM and three (03) out of four (04) residents from 1:30 PM – 3:00 PM. LPA was unable to interview one (01) out of four (04) residents. During interviews with staff, all staff stated they do not yell or scream at residents. During interviews with residents, Resident #1 (R1) stated staff yell at residents and yells more at other residents than R1. All other interviewed residents stated that staff have never yelled at them.
(CONT on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 04/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024

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 3

Control Number 31-AS-20230921114214

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: TRUDEZ HOME CARE	FACILITY NUMBER: 197602838
	VISIT DATE: 04/18/2024

NARRATIVE

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

--- Staff handled resident in a rough manner.

It was alleged that the facility staff grabbed resident by the wrist and are rough. To investigate the allegation, on 09/06/2023, interviewed two (02) staff from 10:30 AM – 12:00 PM and three (03) out of four (04) residents from 1:30 PM – 3:00 PM. LPA was unable to interview one (01) out of four (04) residents. During interviews with staff, all staff stated they have never been rough with residents and are gentle when caring for residents. During interviews with residents, R1 stated staff holds their hand and handle them in a rough manner when providing care. All other residents stated staff have never handled them in a rough manner and that staff are gentle and very nice to them.

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

--- Staff did not afford resident privacy

It was alleged that while resident was unclothed and showering, staff brought a resident into the bathroom. To investigate the allegation, on 09/06/2023, interviewed two (02) staff from 10:30 AM – 12:00 PM and three (03) out of four (04) residents from 1:30 PM – 3:00 PM. LPA was unable to interview one (01) out of four (04) residents. During interviews with staff, all staff stated that residents do not walk into the restroom when others are unclothed and in the shower. During interviews with residents, R1 stated they have never been unclothed and exposed to residents when showering but that other residents leave the bathroom door open when using the restroom. All other residents stated staff have never left them unclothed and exposed to other residents or leave the bathroom door open when using the restroom.

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

(CONT. on LIC 9099-C)

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 04/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 31-AS-20230921114214

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: TRUDEZ HOME CARE	FACILITY NUMBER: 197602838
	VISIT DATE: 04/18/2024

NARRATIVE

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--- Due to lack of supervision, residents go into other resident's rooms and go through personal belongings

It was alleged that residents go through other residents’ belongings. To investigate the allegation, on 09/06/2023, interviewed two (02) staff from 10:30 AM – 12:00 PM and three (03) out of four (04) residents from 1:30 PM – 3:00 PM. LPA was unable to interview one (01) out of four (04) residents. During interviews with staff, all staff stated that residents do not go through other residents’ belongings. During interviews with residents, all residents stated that no one goes through their belongings and that nothing has gone missing.

Based on interviews, 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 conducted and a copy of the report was issued.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 04/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/18/2024

LIC9099 (FAS) - (06/04)

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