197606349-10-11-2022-31-AS-RRAZ-CKTUVG-20221103155508

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197606349
Report Date: 10/11/2022
Date Signed: 10/11/2022 12:15:20 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
08/17/2022 and conducted by Evaluator Melissa Ruiz

COMPLAINT CONTROL NUMBER: 31-AS-20220817144823

FACILITY NAME:	GARNER'S HOME CARE		FACILITY NUMBER:	197606349
ADMINISTRATOR:	MARY JANE GARNER		FACILITY TYPE:	740
ADDRESS:	20959 STRATHERN STREET		TELEPHONE:	(818) 268-1403
CITY:	CANOGA PARK	STATE: CA	ZIP CODE:	91304
CAPACITY:	6	CENSUS: 5	DATE:	10/11/2022
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Rosa Lina - staff		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Staff is rough with resident.
Facility is not kept at a comfortable temperature.

INVESTIGATION FINDINGS:

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On 10/11/22 Licensing Program Analyst (LPA) Melissa Ruiz arrived at the facility to conduct an unannounced subsequent complaint investigation. Upon arrival, LPA was greeted by staff (S1), LPA contacted the Administrator, Mary Jane Garner who designated S1 to sign the report.

Allegation: Staff is rough with resident.

To investigate this allegation, LPA interviewed the Administrator, three (3) out of five (5) residents, two (2) staff, and attempted to interviev one (1) previous resident. Per the Administrator no staff have treated any resident in a rough way. Administrator stated that one previous resident was very particular with how they wanted things done and would often scream at staff. The interviews conducted with three (3) residents revealed that none of them have experienced or witnessed any staff be rough with any resident. An interview with two (2) staff revealed that they do not treat residents in any rough way. Based on the interviews, the allegation “Staff is rough with resident” is unsubstantiated at this time. (cont. on LIC9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Melissa Ruiz	TELEPHONE: (818) 401-7980
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

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-20220817144823

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: GARNER'S HOME CARE	FACILITY NUMBER: 197606349
	VISIT DATE: 10/11/2022

NARRATIVE

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Allegation: Facility is not kept at a comfortable temperature.

To investigate this allegation, LPA conducted interviews with the Administrator and three (3) out of five (5) residents. LPA attempted to interview one (1) previous resident. The Administrator stated that the air conditioner does go on when needed, but the residents like to have the windows open, so even if it is on, the fresh air escapes. Additionally, the Administrator stated all residents have their own fan. Three (3) out of five (5) residents stated that they are happy with the temperature that the facility is kept. On today’s date, LPA observed the temperature to be set at 77 degrees Fahrenheit. Based on interviews and LPA observation, the allegation “Facility is not kept at a comfortable temperature” is unsubstantiated at this time.

No deficiencies issued. Report signed and delivered. Exit interview conducted.

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Melissa Ruiz	TELEPHONE: (818) 401-7980
LICENSING EVALUATOR SIGNATURE:	DATE: 10/11/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/11/2022

LIC9099 (FAS) - (06/04)

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