197605632-6-28-2022-31-AS-NGID-CH7PLW-20220811112522

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197605632
Report Date: 06/28/2022
Date Signed: 06/28/2022 12:19:51 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
06/15/2022 and conducted by Evaluator Shira Stamps

COMPLAINT CONTROL NUMBER: 31-AS-20220615133719

FACILITY NAME:	TURNER'S RESIDENTIAL FACILITY		FACILITY NUMBER:	197605632
ADMINISTRATOR:	VALEREE ZEPEDA		FACILITY TYPE:	735
ADDRESS:	2923 EAST AVENUE R-10		TELEPHONE:	(661) 480-7297
CITY:	PALMDALE	STATE: CA	ZIP CODE:	93550
CAPACITY:	4	CENSUS: 4	DATE:	06/28/2022
		UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	Valeree Zepeda, Administrator		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Staff caused injury to client.

Staff inappropriately video taped client.

INVESTIGATION FINDINGS:

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At 10:10am, Licensing Program Analyst (LPA) Shira Stamps conducted a subsequent complaint visit to deliver the findings of the above allegations. Entrance interview conducted with the Administrator.

On 06-16-2022 LPA initiated the complaint investigation. At approximately 11:10 am, LPA conducted a physical plant tour. From 11:20-11:45am LPA completed a record review of the client’s files and collected copies. At 11:45 am LPA began interviews with two (2) out of two (2) staff members and two (2) out of two (2) clients. It is alleged that staff injured a client by placing the client in a choke hold and punching the client in the face, right arm, and stomach.

The staff members indicated they do not use holds on the clients, and that they talk clients down during behavioral episodes. The staff members who were interviewed witnessed the incident that occurred on 06-12-2022. Allegedly staff got upset and in C1’s face when C1 requested food after returning from church. As a result, C1 responded at staff and allegedly threw a punch in which staff responded by placing C1 in a choke hold causing injuries . CONTINUED...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Shira Stamps
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2022

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-20220615133719

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: TURNER'S RESIDENTIAL FACILITY	FACILITY NUMBER: 197605632
	VISIT DATE: 06/28/2022

NARRATIVE

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During interviews staff stated that they did not touch or injure the client. Staff indicated the client had a staff member on each side, talking to the client to calm the client down. Interviews with two (2) out of (2) clients indicated staff have never put a client in a hold or injured them. The clients interviewed indicated all staff treat them very well, and they have no issues with any staff members. It was found that staff have never injured, choked, hit, or put a client in a hold, therefore based on interviews the allegation, “Staff injured a client, “is deemed unsubstantiated.

Allegation: Staff inappropriately videotaped a client in the shower.

Interviews with clients indicated that staff have never treated them inappropriately. Interviews with clients indicated they shower by themselves and staff do not enter the bathroom while the client is showering. Interviews with staff indicated they help two (2) clients in the facility with administering soap to wash their hands. The staff indicated all clients shower by themselves. Interviews with staff indicated there is no official policy for cell phone usage, but they know cell phones should not be used to video or facetime the clients. Staff also indicated personal phone use is permitted when there is down time, but staff should still be supervising the clients. Staff indicated during down time they will play games on their phones or search through social media. Interviews indicated staff do not enter the bathroom with clients during their showers, therefore based on interviews the allegation, “Staff inappropriately videotaped a client in the shower,” is deemed unsubstantiated.

Appeal rights issued. Exit interview conducted and Report Delivered to the Administrator.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Shira Stamps
LICENSING EVALUATOR SIGNATURE:	DATE: 06/28/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/28/2022

LIC9099 (FAS) - (06/04)

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