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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197606270
Report Date: 03/14/2022
Date Signed: 03/14/2022 12:18:02 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
03/11/2022 and conducted by Evaluator Tuesday Cabiness
COMPLAINT CONTROL NUMBER: 31-AS-20220311083738
FACILITY NAME:DENOGEAN ADULT RESIDENTIAL FACILITYFACILITY NUMBER:
197606270
ADMINISTRATOR:RICHARD W. DENOGEANFACILITY TYPE:
735
ADDRESS:10712 ARTRUDE STREETTELEPHONE:
(818) 353-8214
CITY:SHADOW HILLSSTATE: CAZIP CODE:
91040
CAPACITY:4CENSUS: 4DATE:
03/14/2022
UNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Richard DenogeanTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Unqualified staff providing First Aide Training
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced initial complaint visit, to discuss the allegation mentioned above. LPA met with Administrator Richard Denogean and informed him the reason of the visit. The following was determined:

Concerns were expressed that the facility has unqualified staff providing first aid training. During the visit, from 11:15am to 1230pm, LPA conducted interviews, obtained facility documentation, and reviewed Title 22 Regulations pertaining to the complaint. Information reviewed, revealed the Administrator is a Licensed Register Nurse, who’s license was obtained for LPA, in which it was valid and in good standing. Administrator also has a Bachelors’ Degree in Science. The Administrator reported to LPA that he has provided American Red Cross training for his facility for years. But due to the pandemic, and not having American Red Cross personnel available to conduct the training, he elected to
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2022
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-20220311083738
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: DENOGEAN ADULT RESIDENTIAL FACILITY
FACILITY NUMBER: 197606270
VISIT DATE: 03/14/2022
NARRATIVE
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provide the first aid training to his staff and to save money. Because the Administrator is a Registered Nurse and must continue yearly educational and first aid training to maintain his license, according to Title 22 Regulations, 80075(f) “Staff responsible for providing direct care and supervision shall receive training in first aid from persons qualified by agencies including but not limited to the American Red Cross”. The facility has a valid Administrator’s certificate, who works for an agency (Licensing), and the Administrator is qualified to train staff, based on his medical credentials. Therefore, the allegation, is UNSUBSTANTIATED.


Exit interview conducted and copy of report provided.
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2