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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608609
Report Date: 08/02/2022
Date Signed: 08/02/2022 02:11:54 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
07/05/2022 and conducted by Evaluator Abeye Duguma
COMPLAINT CONTROL NUMBER: 31-AS-20220705132306
FACILITY NAME:PARADISE HOMEFACILITY NUMBER:
197608609
ADMINISTRATOR:MUSTAPHA ALABIFACILITY TYPE:
735
ADDRESS:20319 CEDARCREEK STREETTELEPHONE:
(661) 367-6524
CITY:CANYON COUNTRYSTATE: CAZIP CODE:
91351
CAPACITY:4CENSUS: 4DATE:
08/02/2022
UNANNOUNCEDTIME BEGAN:
09:59 AM
MET WITH:Nanette AlabiTIME COMPLETED:
02:20 PM
ALLEGATION(S):
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Staff threatened a client with eviction while in care.
Staff is verbally aggressive to a client while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Abeye Duguma conducted an unannounced subsequent complaint visit to the facility. Upon entry, LPA met with Nanette Alabi and explained the reason for the visit.

--- Staff threatened a client with eviction while in care

It was alleged that staff are threatening to evict Client #1 (C1). To investigate this allegation, on 07/07/2022, LPA and Licensing Program Manager (LPM), Naira Margaryan, interviewed one staff and one resident from 10:30 AM - 11:00 AM and requested staff and client files at 11:20 AM. On 08/02/2022 LPA interviewed three staff and two clients from 10:30 AM - 1:00 PM. During interviews with staff, facility staff stated that they did not threaten to evict any clients at the facility. During interviews with clients, C1 stated that when they refused to speak to the Administrator outside of C1's bedroom, they were told to "prepare to leave".

(CONT on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022
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-20220705132306
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: PARADISE HOME
FACILITY NUMBER: 197608609
VISIT DATE: 08/02/2022
NARRATIVE
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 During interviews, Client #2 (C2) stated that they are not being threatened with evictions or have knowledge about any other staff making any such threats. Record reviews revealed that clients do not have eviction letters in their files or any other evidence that would lead to an eviction to date. Based on interviews and record reviews, there is not enough information to verify the allegation, therefore, the allegation is UNSUBSTANTIATED at this time.

--- Staff is verbally aggressive to a client while in care

It was alleged that staff is verbally aggressive towards client #1 (C1). To investigate this allegation, on 07/07/2022, LPA and Licensing Program Manager (LPM), Naira Margaryan, interviewed one staff and one resident from 10:30 AM - 11:00 AM. On 08/02/2022 LPA interviewed three staff and two clients from 10:30 AM - 1:00 PM. During interviews, C1 and C2 stated that they are not being verbally abused. Furthermore, all staff stated that they are not verbally abusive towards clients and have never witnessed any of the other staff being aggressive towards clients. Based on interviews, 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 conducted and a copy of the report was issued.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Abeye Duguma
LICENSING EVALUATOR SIGNATURE:

DATE: 08/02/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/02/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2