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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197607393
Report Date: 08/13/2022
Date Signed: 08/13/2022 02:40:08 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
03/30/2021 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20210330130257
FACILITY NAME:DURANDO HOME INC.IIIFACILITY NUMBER:
197607393
ADMINISTRATOR:JAMES DURANDOFACILITY TYPE:
740
ADDRESS:36235 43RD STREET EASTTELEPHONE:
(661) 917-4380
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY:4CENSUS: 3DATE:
08/13/2022
UNANNOUNCEDTIME BEGAN:
10:44 AM
MET WITH:Jim PattonTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff does not treat resident with dignity and respect.
Staff yells at resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. Upon entry, LPA met with staff, Nely Gaona and Jim Patton, and explained the reason for the visit. The Administrator designated Jim Patton as the responsible staff member to sign and accept this report.

--- Staff does not treat resident with dignity and respect.

It was alleged that staff are rude to residents. To investigate this allegation, on 08/13/2022 at 11:00 AM, LPA made observations during a physical plant tour and interviewed two (02) staff and (02) two residents from 11:35 AM - 1:00 PM. During interviews, resident #1 (R1) and resident #2 (R2) stated that they feel that they are being treated with respect and dignity. Furthermore, staff #1 (S1) and staff #2 (S2) stated that they are respectful towards their residents and treat them with dignity.

(Cont. on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2022
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-20210330130257
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 INC.III
FACILITY NUMBER: 197607393
VISIT DATE: 08/13/2022
NARRATIVE
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LPA also observed interactions between staff and residents and did not witness any signs disrespectful or undignified treatment. Based on the interviews and observations, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

--- Staff yells at resident.

It was alleged that staff scream at the residents. To investigate this allegation, on 08/13/2022 at 11:00 AM, LPA made observations during a physical plant tour and interviewed two (02) staff and (02) two residents from 11:35 AM - 1:00 PM. During interviews, resident #1 (R1) and resident #2 (R2) stated that they have never experienced, witnessed or heard any staff screaming at residents. Furthermore, staff stated that they never yell or scream at residents. LPA also observed interactions between staff and residents and did not witness any yelling or screaming. Based on the 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.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2