197609105-4-7-2022-31-AS-NGID-CEZVUJ-20220602164450

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609105
Report Date: 04/07/2022
Date Signed: 04/07/2022 02:44:58 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
08/02/2021 and conducted by Evaluator Melissa Ruiz

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20210802143412

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: 153	DATE:	04/07/2022
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	Yeni Flores		TIME COMPLETED:	03:20 PM

ALLEGATION(S):

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Fire was started at facility due to lack of supervision.
Staff did not treat resident with dignity and respect.
Minor distributing medication to residents.

INVESTIGATION FINDINGS:

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At 11:00 a.m. Licensing Program Analysts (LPAs) Melissa Ruiz and Angela Panushkina arrived at the facility to conduct a subsequent complaint visit. Upon arrival, LPAs met with Administrator Yeni Flores and explained the purpose of the visit, and an entrance interview was conducted.

Allegation #1 - Fire was started at facility due to lack of supervision.
To investigate this allegation, LPAs interviewed the Administrator, five (5) staff and ten (10) residents. Administrator Yeni provided an incident report with a date of occurrence 7/21/21 in which a resident was smoking inside, their sweater caught ashes and the fire alarm went off. Out of all interviews conducted no one has witnessed or heard of a fire starting at the facility. Interviews with staff revealed that although smoking is prohibited, they do know that there have been instances where residents have smoked in their room. The Administrator and a staff (S4) stated that on 7/21/21 at 5:40 p.m., they were leaving the facility and went upstairs to a resident’s room, to check it out.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Melissa Ruiz	TELEPHONE: (818) 401-7980
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

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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Control Number 31-AS-20210802143412

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: 04/07/2022

NARRATIVE

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As soon as they arrived, there was smoke in the room from the cigarette, which was already put out and the sweater had ashes on it. Staff proceeded to throw the sweater away but there was no fire. Administrator and S4 also stated that they frequently deal with smelling fires or smoke because across the street, a lot of homeless people start fires at the park. Ten (10) residents deny seeing a fire inside the facility. Based on interviews and document review, this allegation is unsubstantiated.

Allegation #2 – Staff did not treat resident with dignity and respect.
In relation to this allegation, LPAs interviewed the Administrator, five (5) staff and ten (10) residents. LPAs also obtained relevant documents. Out of the interviews conducted, five (5) staff members stated they have never witnessed any staff members not treat residents with dignity and respect. All staff do recall an incident that occurred in July 2021 between a previous staff member and a resident (R1). No staff witnessed the incident, and all staff stated the previous staff was well liked by everyone at the facility. Administrator provided an incident report which stated that on 7/18/21, R1 was upset because of their medication and verbally harassed the previous staff member. R1 also grabbed and pinched previous staff’s arm. Additionally, LPA was provided with “Resident Communication Contact Reports” dated 7/16/21, 7/17/21, and 7/18/21 all of which were written by the previous staff member and include dates and times where R1 became upset and started name calling previous staff. Lastly, on 9/2/21 LPA Gary Tan conducted a complaint investigation regarding the 7/18/21 altercation. During that visit, the allegations were deemed unsubstantiated. Based on interviews and documents obtained, this allegation is unsubstantiated.

Allegation #3 - Minor distributing medication to residents.
To investigate this allegation, LPAs conducted interviews with the Administrator, five (5) staff and ten (10) residents. Five (5) staff members stated that they have never witnessed a minor distributing medication to residents. All staff members stated that the Administrator’s daughter frequently comes to the facility and volunteers, especially during summer vacation. All staff stated that the Administrator’s daughter helps S4 in the kitchen and S4 stated the daughter assists with unloading groceries and putting desserts in containers. Lastly, all staff deny ever seeing or working with the daughter distribute medication and nine (9) residents deny ever being given medications by a minor. Based on interviews conducted, this allegation is unsubstantiated.
No deficiencies issued. Report was signed and delivered. Exit interview conducted.

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Melissa Ruiz	TELEPHONE: (818) 401-7980
LICENSING EVALUATOR SIGNATURE:	DATE: 04/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/07/2022

LIC9099 (FAS) - (06/04)

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