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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608023
Report Date: 08/14/2024
Date Signed: 10/16/2024 04:07:49 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 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
08/13/2024 and conducted by Evaluator Melissa Spaeth
COMPLAINT CONTROL NUMBER: 31-AS-20240813091203
FACILITY NAME:SUNGATE CARE FACILITYFACILITY NUMBER:
197608023
ADMINISTRATOR:TASHA KANALEYFACILITY TYPE:
735
ADDRESS:3441 SUNGATE DR.TELEPHONE:
(661) 526-7848
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY:4CENSUS: 4DATE:
08/14/2024
UNANNOUNCEDTIME BEGAN:
08:40 AM
MET WITH:Donna WalkerTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff mishandled a client's personal funds
INVESTIGATION FINDINGS:
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This is an amended copy of the report previously issued on 8/14/2024. This report supersedes reports previously issued. The findings for this complaint remain the same.

On August 14, 2024 Licensing Program Analyst (LPA) Melissa Spaeth conducted a subsequent complaint investigation at the above facility to address the following allegation(s). LPA was met by the caregiver and LPA explained the purpose of this visit was to investigate the complaint and deliver findings.

LPA interviewed two out of the four clients, and three out of the seven staff members at 9:00 am until 10:30 am, toured the facility at 10:30 am until 10:45 am, reviewed residents’ files at 10:45 am until 11:10 am and received copies of C1’s documentation.

Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
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 3
Control Number 31-AS-20240813091203
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: SUNGATE CARE FACILITY
FACILITY NUMBER: 197608023
VISIT DATE: 08/14/2024
NARRATIVE
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The investigation revealed the following: Regarding the allegation: staff mishandled a client’s personal funds. It’s being alleged that C1’s paychecks have not been cashed and staff have not taken C1 to the bank to cash their checks.

LPA Spaeth interviewed a client (C1) at 9:00 am who confirmed a staff member (S1) took C1 last Friday, 8/09/2024 to a location so that C1 could cash the checks. Client 2 (C2) was interviewed at 9:10 am who confirmed staff takes C2 to a location and C2 cashes their checks. C1-C2 confirmed there are no outstanding checks that need to be cashed. C3-C4 were unable to be interviewed.

LPA interviewed three staff members (S1, S2, S3) at 9:15 who unanimously confirmed on 8/09/2024 S1 took C1 to a location to cash their checks. S1-S3 confirmed C1 likes to hold onto their checks and not cash the checks right away. S1-S3 confirmed they have never taken any client’s personal money. S1-S3 confirmed they have never witnessed a staff member taking a client’s money.

Based upon LPA's client and staff interviews, the complaint is unsubstantiated.

Exit interview conducted and a copy of the report was given.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20240813091203
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: SUNGATE CARE FACILITY
FACILITY NUMBER: 197608023
VISIT DATE: 08/14/2024
NARRATIVE
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SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE:

DATE: 10/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/16/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3