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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197606348
Report Date: 06/04/2025
Date Signed: 06/04/2025 11:54:22 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
03/06/2025 and conducted by Evaluator Leslie Ngo-Castaneda
COMPLAINT CONTROL NUMBER: 31-AS-20250306143737
FACILITY NAME:COMMUNITY INTEGRATION ADCFACILITY NUMBER:
197606348
ADMINISTRATOR:PETER MEDVEDEVFACILITY TYPE:
775
ADDRESS:10100 BALBOA BL.TELEPHONE:
(818) 772-1155
CITY:GRANADA HILLSSTATE: CAZIP CODE:
91343
CAPACITY:120CENSUS: 67DATE:
06/04/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Robert Erio- Program DirectorTIME COMPLETED:
12:01 PM
ALLEGATION(S):
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Staff left clients in soiled diapers for an extended period of time.
Staff speak inappropriately to clients in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Leslie Ngo-Castaneda conducted a subsequent complaint visit to the facility to investigate the above allegations. LPA met with the wellness director, Robert Erio, and was advised about the visit. At 9:15 AM, LPA conducted a physical plant tour to ensure the health and safety of the clients in care.

An entrance interview was conducted.

Allegation #1: Staff left clients in soiled diapers for an extended period of time

It was alleged that clients would remain unchanged, and clients would have an odor. To investigate the allegation on 3.11.2025, LPA conducted a physical plant tour at around 10:30 am and observed that all client attendees were clean and well-groomed. LPA did not experience any odor.
Continue to LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025
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-20250306143737
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: COMMUNITY INTEGRATION ADC
FACILITY NUMBER: 197606348
VISIT DATE: 06/04/2025
NARRATIVE
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During interviews with staff, it was revealed that they check on all attendees. Staff would change the attendees as needed or requested, and do not leave residents soiled for an extended time. LPA interviewed a sample of ten (10) attendees. All ten (10) attendees expressed no concern regarding this allegation. Based on interviews and observation, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time.

Allegation #2: Staff speak inappropriately to clients in care.

It was alleged that staff #5 (S5) and staff #14 (S14) made inappropriate comments to attendees. On 3.11.2025 LPA interview staff and attendees at 10:50 AM. LPA interviewed a sample of ten (10) attendees. Interview with ten (10) attendees, and all ten (10) attendees have not witnessed or experienced staff speaking inappropriately to attendees and have not been spoken to inappropriately by staff. Clients #5 (C5) and client #10 (C10) attendees with S5 and S14, respectively, denied witnessing and experiencing staff being rude to them. Interviews from clients revealed that they are happy and have not experienced such treatment from staff. Interviews with staff revealed that they treat all their clients with respect and dignity. During the LPA's initial visit, the LPA did not observe or witness staff speaking inappropriately to attendees. LPA is unable to corroborate the allegation. Based on interviews and observation, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time.

No health and safety hazards were observed during the visit.

An exit interview was conducted, and a copy of the report was issued. 
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Leslie Ngo-Castaneda
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2025
LIC9099 (FAS) - (06/04)
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