197604989-9-19-2024-31-AS-NMAN-DA6VF4-20241018162319

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197604989
Report Date: 09/19/2024
Date Signed: 09/19/2024 03:39:46 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
07/05/2024 and conducted by Evaluator Abeye Duguma

COMPLAINT CONTROL NUMBER: 31-AS-20240705161421

FACILITY NAME:	DURANDO HOME II		FACILITY NUMBER:	197604989
ADMINISTRATOR:	JAMES DURANDO		FACILITY TYPE:	740
ADDRESS:	38757 37TH STREET EAST		TELEPHONE:	(661) 266-0551
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93552
CAPACITY:	4	CENSUS: 4	DATE:	09/19/2024
		UNANNOUNCED	TIME BEGAN:	11:15 AM
MET WITH:	Mariam Raina		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Facility staff not meeting incontinence care needs of residents.
Facility staff not providing meals to residents.

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, Mariam Raina, and explained the reason for the visit.

--- Facility staff not meeting incontinence care needs of residents.

It was alleged that staff do not change the residents' diapers. To investigate the allegation, on 07/12/2024 LPA conducted physical plant tour at around 01:30 PM, interviewed one (01) staff and two (02) out of four (04) residents between 02:30 PM to 03:30 PM. During the physical plant tour, LPA observed all residents were clean and well groomed. LPA did not experience any malodor. During interviews with staff, Staff #1 (S1) stated that residents are changed frequently throughout the day and checked on every two hours. Staff added that residents are not left soiled for an extended time.

(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: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 31-AS-20240705161421

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: DURANDO HOME II	FACILITY NUMBER: 197604989
	VISIT DATE: 09/19/2024

NARRATIVE

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During interviews with residents, two (02) of four (04) residents stated they are checked on frequently for incontinent care, changed often and are not left soiled for an extended time. LPA was unable to interview other residents.

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

--- Facility staff not providing meals to residents.

It was alleged that staff do not feed the residents at mealtimes. To investigate the allegation, on 07/12/2024 LPA conducted physical plant tour at around 01:30 PM, interviewed one (01) staff and two (02) out of four (04) residents between 02:30 PM to 03:30 PM. During the physical plant tour, LPA observed residents being offered mid-day snacks. LPA also observed at least seven (07) days perishable and two (02) days non-perishable foods in the facility. During interviews with staff, Staff #1 (S1) stated that residents are served breakfast, lunch, dinner and offered snacks throughout the day. During interviews with residents, two (02) of four (04) residents stated they are served all meals and that snacks are available upon request. LPA was unable to interview other residents.

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.

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Abeye Duguma	TELEPHONE: (818) 669-6814
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

LIC9099 (FAS) - (06/04)

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