197608374-5-16-2025-11-AS-JHAD-DHPTL7-20250616144904

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608374
Report Date: 05/16/2025
Date Signed: 05/16/2025 04:49:56 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/16/2024 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20240516220152

FACILITY NAME:	IN HONOR OF OUR PARENTS, INC.		FACILITY NUMBER:	197608374
ADMINISTRATOR:	ANGELA LOVE		FACILITY TYPE:	740
ADDRESS:	1317 W. 40TH PLACE		TELEPHONE:	(323) 296-7816
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90037
CAPACITY:	6	CENSUS: 5	DATE:	05/16/2025
		UNANNOUNCED	TIME BEGAN:	09:38 AM
MET WITH:	Angela Love		TIME COMPLETED:	11:59 PM

ALLEGATION(S):

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Staff did not meet the residents incontinence needs.
Staff did not seek timely medical attention for a resident.
Staff did not have planned activities for the residents.

INVESTIGATION FINDINGS:

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On May 15, 2025, the California Department of Social Services Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Ernand Dabuet conducted a subsequent visit to gather information regarding the above allegations. LPA met with the administrator, Angela Love, and explained the purpose of the visit. LPAs were granted entry to the facility.

The investigation consisted of the following: An initial complaint visit was completed by the Department on 05/20/24 to obtain facility files. The Department conducted a subsequent visit on 05/15/25 and 05/16/25. The Department investigated the allegations mentioned in this complaint and conducted interviews with staff (S1-S4), residents (R1-R5), and witnesses (W1-W3). The following records: Resident Roster, Staff Roster, Resident Appraisals (dated 09/13/1, 03/04/08, 12/08/23), IID/Emergency Information (dated 11/16/23, 12/08/23), Physicians Reports (dated 09/12/22, 08/09/24, 09/12/22, 08/24/23, 01/26/24), and other records pertinent to this complaint.
(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025

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 5

Control Number 11-AS-20240516220152

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: IN HONOR OF OUR PARENTS, INC.	FACILITY NUMBER: 197608374
	VISIT DATE: 05/16/2025

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation #2: Staff did not meet the residents' incontinence needs.

It is alleged that facility staff did not meet residents’ incontinence needs. It was reported that residents were left soiled during the evening hours and did not get their diapers changed, and developed pressure injuries. No further details have been provided concerning this allegation.

On May 15, 2025, between 10:00 AM and 2:00 PM, the Department interviewed resident members identified as Resident #1 through Resident #5 (R1-R5). Three (3) out of the five (5) could not validate this allegation. (R1, R3, and R4) stated having no concerns or issues with incontinence care. (R4) praised the staff, highlighting their responsiveness and willingness to assist. (R2 and R5) were interviewed, but their health conditions affected their communication ability. They could not carry out full conversations.

On May 15, 2025, between 10:00 AM and 2:00 PM, the Department interviewed staff members identified as Staff #1 through Staff #4 (S1-S4). Four (4) out of the four (4) staff members could not support this allegation. (S1) stated that they had not heard any dissatisfied residents or family members complaining about incontinence care. (S1) explained that diaper care for residents is based on each resident's care plan. (S1-S4) explained that residents requiring incontinence assistance are served four times daily or as needed and that no residents are left in soiled diapers. Staff members (S1-S4) reported that no care residents have ever developed bedsores. (S1) stated that residents in care have static air mattresses that prevent pressure sores due to limited mobility. Residents are repositioned every two hours to prevent pressure injuries, and staff received training from hospice and home health on how to avoid these injuries.

On May 13, 2025, and May 15, 2025, between 10:40 AM and 2:00 PM, the Department interviewed witness members identified as Witness #1 through Witness #3 (W1-W3). Three (3) out of the three (3) witness members could not verify the allegation. (W1) the Program Director at Morningside Adult Day Health, described (R2, R3, and R5) as well groomed, cared for by staff, and has never appeared in soiled clothing or diapers at the day program. (W2 and W3) Home health services representatives verified that (R1) was receiving home health services, the aides staff provided incontinence care, and there were no indications from home health aides that (R1) had incontinence problems.
(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 5

Control Number 11-AS-20240516220152

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: IN HONOR OF OUR PARENTS, INC.	FACILITY NUMBER: 197608374
	VISIT DATE: 05/16/2025

NARRATIVE

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The Department reviewed (R1-R5)’s Physician Report LIC 602A (dated 09/12/22, 01/24/23, 01/26/24 and 08/09/24) and Resident Appraisal LIC603 (dated 03/04/08, 09/13/11, 01/24/23, and 12/08/23) confirmed (R1-R2 and R4-R5) required assistance with incontinence services (R3) is independent. (R1)’s Home Health Charting Notes (dated 07/01/24 through 09/01/24) verified no documentation of the resident’s issues with incontinence care. A review of staff training shows that personnel have completed essential caregiving courses. Further examination of the facility’s Personnel Report LIC 500 confirmed that care staff are available for all shifts, including the night shift.

Based on the information gathered, there is not enough evidence to support the allegation mentioned above.

Allegation #7: Staff did not seek timely medical attention for a resident.

The complaint states that the facility staff did not provide timely medical attention to resident #3 (R3) while they were under care. It was reported that (R3) experienced several stomach issues and was not given the chance to see a physician. As a result, (R3) was eventually hospitalized and required surgery. No additional details regarding this matter were provided.

On May 15, 2025, between 10:00 AM and 2:00 PM, the Department interviewed resident members identified as Resident #1 through Resident #5 (R1-R5). Three (3) out of the five (5) resident members could not corroborate this allegation. (R3) denied being hospitalized or needing any surgery. (R1 and R3-R4) reported that the facility staff responded to residents requiring medical attention and acted promptly. (R2 and R5) they were interviewed, but their health conditions affected their communication ability. Despite this, they made efforts to engage in the conversation.

On May 15, 2025, between 10:00 AM and 2:00 PM, the Department interviewed staff members identified as Staff #1 through Staff #4 (S1-S4). Four (4) out of the four (4) staff members could not validate this allegation. (S1) stated that no resident has been hospitalized or requires surgery. (S1-S4) indicated that no residents needed any medical attention that required hospitalization. (S1-S4) also reported that they diligently monitor any resident condition changes. If any significant changes are observed, the protocol is to notify the administrator immediately and to seek prompt medical attention.

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 5

Control Number 11-AS-20240516220152

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: IN HONOR OF OUR PARENTS, INC.	FACILITY NUMBER: 197608374
	VISIT DATE: 05/16/2025

NARRATIVE

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After reviewing the Physician's Report LIC 602A for Resident R3 (dated 9/12/22) and the Resident Appraisal LIC603 (dated 3/04/08), it has been confirmed that (R3) is independent, can self-care, has no physical health issues, and is not on any special diet. The Department's audit of (R3)'s service records revealed no hospital records. Additionally, a review of staff training indicates that personnel have completed essential caregiving courses.

Based on the information gathered, there is not enough evidence to support the allegation mentioned above.

Allegation #11: Staff did not have planned activities for the residents.

The complaint alleges that the facility lacked planned activities for residents; no further details were provided regarding this allegation.

On May 15, 2025, between 10:00 AM and 2:00 PM, the Department interviewed resident members identified as Resident #1 through Resident #5 (R1-R5). Three (3) out of the five (5) could not support this allegation. (R1, R3, and R4) expressed that planned social activities are available for residents. (R2 and R5) they were interviewed, but their health conditions affected their communication ability. Despite this, they made efforts to engage in the conversation.

On May 15, 2025, between 10:00 AM and 2:00 PM, the Department interviewed staff members identified as Staff #1 through Staff #4 (S1-S4). Four (4) out of the four (4) staff members could not corroborate this allegation. Three (3) out of five (5) residents attend a day program daily, Monday through Friday, for half a day, according to staff members (S1-S4). (S1) stated that the facility provides numerous activities for residents in care. (S1) emphasized the importance of tailoring the social activities to each resident's interests. The facility's program includes leisure time, physical exercises, and opportunities for socialization. Residents are offered entertainment, therapy, and outdoor activities catering to their needs. (S1) mentioned that they can choose which daily activities they would like to participate in. (S1-S4) noted that the facility provides an Activities Calendar for residents.

On May 15, 2025, between 10:40 AM and 2:00 PM, the Department interviewed Witness #1 (W1), the Program Director at Morningside Adult Day Health.

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025

LIC9099 (FAS) - (06/04)

Page: 4 of 5

Control Number 11-AS-20240516220152

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: IN HONOR OF OUR PARENTS, INC.	FACILITY NUMBER: 197608374
	VISIT DATE: 05/16/2025

NARRATIVE

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(W1) confirmed that three (3) residents of the In Honor of Our Parents, Inc. engage in daily social and recreational activities beyond their group home. They explore community arts and cultural events or participate in group outings. These experiences allow them to engage with people and increase their sense of community and connection. These activities are provided to the residents five days a week.

The Department reviewed the facility's social activities calendar, which featured several daily events, social activities, and therapy sessions planned for residents in care.

Based on the information collected, insufficient evidence supports the allegation mentioned above.

Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegations. While the allegations may be valid or have occurred, there is insufficient evidence to establish whether the alleged violations took place or did not. Therefore, the allegations are determined Unsubstantiated.

An exit interview was conducted with Angela Love, and copies of the reports were provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025

LIC9099 (FAS) - (06/04)

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