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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609105
Report Date: 10/14/2022
Date Signed: 10/14/2022 11:47:37 AM

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
04/20/2022 and conducted by Evaluator LaQueena Lacy
COMPLAINT CONTROL NUMBER: 31-AS-20220420115826
FACILITY NAME:GRANDVIEW, THEFACILITY NUMBER:
197609105
ADMINISTRATOR:FLORES, YENIFACILITY TYPE:
740
ADDRESS:2211 W 6TH STREETTELEPHONE:
(213) 380-7000
CITY:LOS ANGELESSTATE: CAZIP CODE:
90057
CAPACITY:215CENSUS: DATE:
10/14/2022
UNANNOUNCEDTIME BEGAN:
11:02 AM
MET WITH:Yeni FloresTIME COMPLETED:
11:32 AM
ALLEGATION(S):
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9
Resident was inappropriately touched by another resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) LaQueena Lacy conducted a subsequent visit on 10/14/2022 at 11:02am to deliver investigative findings for the above allegation. LPA met with Administrator Yeni Flores and explained the purpose of the visit.

It is alleged that another resident stuck their hand up resident #1 (R1) dress. To investigate the above allegation, LPA interviewed staff, residents and other witnesses involved in R1 care and supervision. During the investigation R1 did not know the last name, room number or description (race, height) of the resident who stuck their hand up R1 dress. Interviews conducted with fifteen (15) out of sixteen (16) residents on 04/28/2022 between 11:25am – 2:15pm and a later date on 06/08/2022 between 11:13am – 1:04pm, revealed no one have witnessed any one being inappropriately touched and thirteen (13) out of (16) have not heard of any one being inappropriately touched. Interviews with four (04) out of (04) staff on 04/28/2022 at 1:37pm and 06/08/2022 between 2:10pm – 2:37pm determined they knew R1, and R1 never reported being inappropriately touched by any resident.
Continued on LIC9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Naira MargaryanTELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: LaQueena LacyTELEPHONE: (818) 661-0002
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022
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-20220420115826
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: GRANDVIEW, THE
FACILITY NUMBER: 197609105
VISIT DATE: 10/14/2022
NARRATIVE
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Based on LPAs interviews, and observation, Although the allegation may have happened or may be valid, there is not enough corroborating evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies cited, Exit interview conducted. Copy of report, and appeal rights issued.
SUPERVISOR'S NAME: Naira MargaryanTELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: LaQueena LacyTELEPHONE: (818) 661-0002
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2