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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197603121
Report Date: 09/11/2023
Date Signed: 09/11/2023 07:38:39 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 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
07/31/2023 and conducted by Evaluator Evelin Rios
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20230731093314
FACILITY NAME:BRU JR FAMILY HOMEFACILITY NUMBER:
197603121
ADMINISTRATOR:BRU, LUIS JRFACILITY TYPE:
735
ADDRESS:1210 EAST DONATELLO STTELEPHONE:
(661) 945-7641
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY:4CENSUS: 4DATE:
09/11/2023
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Luis JR BruTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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Staff not providing adequate food service.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct a subsequent unannounced visit to deliver a determination for the allegation above. LPA was greeted by licensee Luis JR Bru and granted access. LPA explained to licensee the purpose of the visit. An entrance interview was conducted. LPA interviewed resident that was previously not in the home on initial unannounced complaint visit.

The following was determined:

Allegation: Staff not providing adequate food service. Regarding the allegation, it was reported that resident #1 (R1) has been placed on a diet and is being denied “extra” food. On 08/08/23 LPA conducted interviews with licensee and residents at the facility. On 08/09/23 LPA conducted telephone interviews with staff and complainant. On 09/11/23 LPA interviewed resident at the facility. Interviews with staff and resident #1 (R1) confirm R1 had requested to go on a diet as they were directed by their doctor to do so. Interviews with staff deny the allegation and report they only encourage R1 to eat healthier and exercise. (Cont. LIC9099-C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2023
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 6
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 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
07/31/2023 and conducted by Evaluator Evelin Rios
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20230731093314

FACILITY NAME:BRU JR FAMILY HOMEFACILITY NUMBER:
197603121
ADMINISTRATOR:BRU, LUIS JRFACILITY TYPE:
735
ADDRESS:1210 EAST DONATELLO STTELEPHONE:
(661) 945-7641
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY:4CENSUS: 4DATE:
09/11/2023
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Luis JR BruTIME COMPLETED:
05:45 PM
ALLEGATION(S):
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Resident not provided dignity and respect.
Staff mismanaging residents’ funds.
Staff prohibiting resident from going on outings.
Staff prohibited resident from having PRN medication at the facility.
Facility staff force resident to perform household duties.
Facility is in disrepair.
Staff yell at resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Evelin Rios arrived at the facility to conduct a subsequent unannounced visit to deliver a determination for the allegation above. LPA was greeted by licensee Luis JR Bru and granted access. LPA explained to licensee the purpose of the visit. An entrance interview was conducted. LPA interviewed resident that was previously not in the home on initial unannounced complaint visit.

The following was determined:

Allegation #1: Resident not provided dignity and respect. Regarding the allegation, it was reported staff tells resident #1 (R1) other residents in the house do not like R1. On 08/08/23 LPA conducted interviews with licensee and residents at the facility. On 08/09/2023 LPA conducted telephone interviews with staff and complainant. According to licensee and staff interviews, there have been issues between R1 and resident #2. The facility has addressed the issues between R1 and R2 in the form of a house meeting between both residents. R2 denies having issues or disagreements with R1. (Cont. LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 6
Control Number 31-AS-20230731093314
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: BRU JR FAMILY HOME
FACILITY NUMBER: 197603121
VISIT DATE: 09/11/2023
NARRATIVE
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R1 affirms R2 has made fun of R1 at Day Program and not at the facility. Furthermore, staff denied the allegation being reported. Therefore, based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Allegation #2: Staff mismanaging residents’ funds. Regarding the allegation, it was reported that the Licensee is keeping R1’s Personal and Incidentals (P&I). On 08/08/23 LPA conducted interviews with licensee and residents at the facility. On 08/09/2023 LPA conducted telephone interviews with complainant and a telephone interview with Eric Perez from North Los Angeles County Regional Center on 09/11/2023. According to Eric, they had made contact with FACT, R1’s payee and received information from FACT that they have mailed a check out with funds for R1 on Friday. On 9/11/23 LPA reviewed R1 had received payments for February to May and other funds are pending thru FACT. Licensee has been actively working with FACT so that R1 may receive P&I on time. Therefore, based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Allegation #3: Staff prohibiting resident from going on outings. Regarding the allegation, it was reported R1 is punished and not allowed on outings with the other residents. On 08/08/23 LPA conducted interviews with licensee and residents at the facility. On 08/09/2023 LPA conducted telephone interviews with staff and complainant. On both days, according to interviews, residents stated they go on outings either to get food or hang out at another facility. R1 stated they would like to see their significant other more often but do go on outings to the movies or to eat. Furthermore, staff denied the allegation and reported they make arrangements to go on outings with residents. Based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Allegation #4: Staff prohibited resident from having PRN medication at the facility. Regarding the allegation, it was reported staff denied R1 over the counter medication. LPA reviewed and obtained R1's records on 08/08/2023. According to R1's PRN Medication Authorization Letter, R1 is able to communicate and determine their symptoms but are not able to determine which medication is needed for symptoms. Interview with licensee and staff revealed they will take resident's to urgent care, emergency room, or make a doctors appointment for resident's expressing a need for over the counter medication so that it may be prescribed by a medical professional. (LIC9099-C Page 2 of 3)
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 6
Control Number 31-AS-20230731093314
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: BRU JR FAMILY HOME
FACILITY NUMBER: 197603121
VISIT DATE: 09/11/2023
NARRATIVE
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 Furthermore, residents did not express concerns or issues with receiving assistance when they have expressed symptoms of headaches or stomach issues. Based on interviews and record review, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Allegation #5: Facility staff force resident to perform household duties. Regarding the allegation, it was reported R1 is forced to do chores. On 08/08/23 LPA conducted interviews with licensee and residents at the facility. On 08/09/2023 LPA conducted telephone interviews with staff and complainant. On 9/11/23 LPA conducted an interview with resident #4 (R4) at the facility. Interview with R1 affirms they would like a different chore or skip days for chores. R1 affirms they feel obligated to complete chores. According to interviews, with other residents they do not feel forced to complete chores. Furthermore, staff denied the allegation and reported. Therefore, based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Allegation # 6: Facility is in disrepair. Concerns were expressed that facility is in disrepair. On 08/08/2023, LPA conducted a physical plant inspection in the kitchen area, resident's rooms, and common area. LPA also conducted interviews with residents and staff. Based on LPA’s observation of the physical plant of the facility on 08/08/2023 there were no health and safety concerns witnessed. Interviews with residents did not reveal any concerns with the facility's physical plant. Therefore, the allegation is deemed UNSUBSTANTIATED at this time.

Allegation #7: Staff yell at resident. In regard to the allegation it was reported staff yell at resident #1 (R1). On 08/08/23 LPA conducted interviews with licensee and residents at the facility. On 08/09/2023 LPA conducted telephone interviews with staff and complainant. On both days, according to interviews, residents have never witnessed staff yell or scream at them; nor have they witnessed staff yell or scream at other residents. Furthermore, staff denied the allegation and reported they have never witnessed other staff yell at residents. Therefore, based on interviews, although the allegation may have happened or is valid, there is insufficient evidence to prove the alleged violation did or did not occur. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. (LIC9099-C Page 3 of 3)

No citations were issued during this visit. Exit interview was conducted and a copy of report was issued.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2023
LIC9099 (FAS) - (06/04)
Page: 4 of 6
Control Number 31-AS-20230731093314
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: BRU JR FAMILY HOME
FACILITY NUMBER: 197603121
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/15/2023
Section Cited
CCR
80072(a)(3)
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(a) each client shall have personal rights which include, but are not limited to, the following:(3) To be free from corporal or unusual punishment...other actions of a punitive nature, including but not limited to: interference with the daily living functions, including eating...This requirement is not met as evidenced by:
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Licensee has agreed to train staff in the regulation cited. Licensee/Administrator agreed to submit written certification to LPA that they have trained staff in the cited regulation by POC due date.
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Based on interviews and record review the licensee did not comply with the section cited above by restricting R1's meals and by staff withholding dessert if R1 did not complete exercise which is a potential health, safety risk or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2023
LIC9099 (FAS) - (06/04)
Page: 5 of 6
Control Number 31-AS-20230731093314
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: BRU JR FAMILY HOME
FACILITY NUMBER: 197603121
VISIT DATE: 09/11/2023
NARRATIVE
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Staff and licensee corroborate they began to portion and restrict R1's meals because R1 had requested they help R1 to lose weight. LPA obtained and reviewed R1's records which reveled no doctor's orders placing R1 on a special or restricted diet. Interviews with other residents corroborate staff #1 has told R1 that they needed to exercise or else would not have dessert. Although R1 had set the goal to eat healthier and exercise in order to lose weight, there was no doctors orders in R1's file and staff withholding food was not appropriate per Title 22. Therefore, Based on interviews, and record review the allegation is deemed SUBSTANTIATED at this time.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Evelin Rios
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2023
LIC9099 (FAS) - (06/04)
Page: 6 of 6