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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609105
Report Date: 06/29/2022
Date Signed: 08/19/2022 01:05:19 PM

Substantiated


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
12/10/2021 and conducted by Evaluator LaQueena Lacy
COMPLAINT CONTROL NUMBER: 31-AS-20211210123001
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: 160DATE:
06/29/2022
UNANNOUNCEDTIME BEGAN:
11:42 AM
MET WITH:Yeni FloresTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff are illegally evicting resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) LaQueena Lacy conducted an unannounced subsequent complaint visit to the facility on 06/29/2022 at 10:23am to deliver the investigative findings. Upon arrival LPA Lacy met with Administrator Yeni Flores (S1) and explained the purpose of this visit. This is an amedment to the original report.

LPA conducted a physical plant tour at 10:35am, to ensure there are no immediate health and safety concerns.

It is alleged that resident #1 (R1) is being evicted for nonpayment of rent. R1’s rent is partially paid by a placement agency. Staff #1 (S1) is refusing to accept R1 portion of the rent but is still accepting payments from the placement agency. To investigate the above allegation, on 12/20/21 LPA interviewed S1 at 1:15pm, S1 confirmed that an eviction notice was served to R1 for nonpayment of rent and other reasons and admitted to accepting partial payments from the placement agency, while refusing to accept payment from R1.
Continued on LIC9099C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Naira MargaryanTELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: LaQueena LacyTELEPHONE: (818) 661-0002
LICENSING EVALUATOR SIGNATURE:

DATE: 08/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022
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 5
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
12/10/2021 and conducted by Evaluator LaQueena Lacy
COMPLAINT CONTROL NUMBER: 31-AS-20211210123001

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: 160DATE:
06/29/2022
UNANNOUNCEDTIME BEGAN:
11:42 AM
MET WITH:Yeni FloresTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Staff prevent resident from receiving mail.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) LaQueena Lacy conducted an unannounced subsequent complaint visit to the facility on 06/29/2022 at 10:23am to deliver the investigative findings. Upon arrival LPA Lacy met with Administrator Yeni Flores and explained the purpose of this visit.

LPA conducted a physical plant tour at 10:35am, to ensure there are no immediate health and safety concerns. This is an amendment to the original report.

It is alleged that staff prevent resident from receiving mail. To investigate the above allegation, LPA interviewed administrator and R1 on 12/20/2021 between approximately 1:15pm - 1:38pm. LPA began interviews with residents and staff on a subsequent visit on 06/08/2022 between approximately 11:20am -2:30pm, interviews determined that twelve (12) out of (12) residents receive mail at the facility. Eleven (11) out of (12) residents have had no issues receiving their mail and does not receive any packages
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: 08/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 31-AS-20211210123001
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: 06/29/2022
NARRATIVE
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delivered by any courier service (Fed Ex, Amazon, etc.) to the facility. Ten (10) out of (12) residents check regularly with the office to inquiry if they have mail, and seven (07) out of (12) is notified by the office that they have mail ready for pickup. Interviews with staff confirmed that residents have mailboxes and mail is placed with the room number in the box and some residents check with the office frequently for mail or they notify the resident by calling them to the office for pickup. During the investigation LPA observed the resident’s mailboxes with room numbers listed on the mail, and residents inquiring about their mail at the front desk. Based on interviews, observations and record review, Although the allegation may have happened or is valid, there is not enough evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANIATED

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: 08/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 31-AS-20211210123001
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: 06/29/2022
NARRATIVE
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Partial payments were received in the months of October and November 2021 and a payment for the month of December 2021 was not received yet. S1 was unable to explain if she took all reasonable steps to prevent the eviction. R1 was interviewed at 1:38pm on 12/20/2021. R1 states the reason for the eviction is because S1 states that R1 has not paid rent, but the truth is that S1 has not accepted R1s rent. R1 states the eviction is illegal because S1 is still receiving the partial rent payment and refusing her portion of the rent.

Based on LPAs observations and interviews it was concluded, that the facility did not follow proper eviction procedures prior to serving an eviction notice to R1.

Therefore the above allegation is SUBSTANTIATED.

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: 08/19/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 31-AS-20211210123001
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/29/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/29/2022
Section Cited
CCR
87224(a)(2)(A)
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87224(a)(2)(A) Eviction Procedures(a)The licensee may evict a resident ...(2) Provide each resident or the resident’s responsible person with a written notice... (A)The reason for the eviction, with specific facts to permit a determination ...This requirement was not met as evidenced by:

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The administrator has returned all payments recived for R1 back to the issuing agency. This citation has been cleared during the LPA visit.
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Based on interviews with Administrator, the reason for eviction was not consistant with the actions taken by the administrator which poses a potential Health and safety and personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Naira MargaryanTELEPHONE: (818) 596-4368
LICENSING EVALUATOR NAME: LaQueena LacyTELEPHONE: (818) 661-0002
LICENSING EVALUATOR SIGNATURE:

DATE: 06/29/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/29/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5