197609105-7-18-2021-31-AS-NMAN-C85S3K-20211025133117

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609105
Report Date: 07/18/2021
Date Signed: 07/18/2021 11:54:56 AM

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
02/23/2021 and conducted by Evaluator Rosaura Valenzuela

COMPLAINT CONTROL NUMBER: 31-AS-20210223090521

FACILITY NAME:	GRANDVIEW, THE		FACILITY NUMBER:	197609105
ADMINISTRATOR:	FLORES, YENI		FACILITY TYPE:	740
ADDRESS:	2211 W 6TH STREET		TELEPHONE:	(213) 380-7000
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90057
CAPACITY:	215	CENSUS: 148	DATE:	07/18/2021
		UNANNOUNCED	TIME BEGAN:	10:32 AM
MET WITH:	Candy Hernandez, Receptionist		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Facility not providing a safe environment for resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced complaint visit to gather additional information and to deliver the finding for the above noted allegation. LPA met with Candy Hernandez, Receptionist. The purpose of the visit was discussed.

Facility not providing a safe environment for resident. To investigate this allegation, LPA Valenzuela conducted an unannounced visit on 2/26/21 and between 3:33pm and 4:05pm, initiated staff and resident interviews, Staff and resident interviews revealed that no one is aware of any altercations between residents. At 3:45pm, LPA toured Resident #1 (R1) and Resident #2 (R2)'s room. Both residents were present at the time and were co-habiting peacefully. LPA interviewed both residents. R2 denied assaulting R1. When LPA interviewed R1, they were unable to concentrate and answer any questions, On 7/16/21 between 4pm and 5pm, LPA conducted document review, which did not reveal any pertinent information to support the allegation. Based on interviews, observation, and record review, this allegation is UNSUBSTANTIATED at this time.
Exit interview conducted and a copy of the report was issued.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Naira Margaryan	TELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: Rosaura Valenzuela	TELEPHONE: (818) 421-5360
LICENSING EVALUATOR SIGNATURE:	DATE: 07/18/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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