197609327-9-15-2022-31-AS-RRAZ-CKLNFU-20221027102606

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609327
Report Date: 09/15/2022
Date Signed: 09/15/2022 10:28:50 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
09/07/2022 and conducted by Evaluator Melissa Ruiz

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20220907104725

FACILITY NAME:	TERNUS ADULT		FACILITY NUMBER:	197609327
ADMINISTRATOR:	TERNUS, TYLER		FACILITY TYPE:	735
ADDRESS:	43513 62ND STREET WEST		TELEPHONE:	(661) 802-4849
CITY:	LANCASTER	STATE: CA	ZIP CODE:	93536
CAPACITY:	4	CENSUS: 4	DATE:	09/15/2022
		UNANNOUNCED	TIME BEGAN:	08:40 AM
MET WITH:	Tyler Ternus		TIME COMPLETED:	10:35 AM

ALLEGATION(S):

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Licensee does not provide appropriate staffing to meet the needs of the residents in care.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Melissa Ruiz and Angela Panushkina arrived at the facility to conduct an initial complaint investigation. Upon arrival, LPAs were greeted by staff and LPAs later met with the Administrator, Tyler Ternus.

It was alleged that Licensee does not provide appropriate staffing to meet the needs of the residents in care. To investigate this allegation, LPAs conducted interviews with the Administrator, one staff, and one credible witness. Administrator stated that recently, he had an issue with a staff (S1) who was recently terminated at another of his facility, Ternus Adult 2. S1 was let go because they had gotten in a car accident and was no longer able to fulfill their manager duties. According to the Administrator and a credible witness, throughout the termination process, S1 had made remarks and or threats regarding money, complaining to various agencies, and a potential lawsuit. Administrator states that although the covid-19 pandemic has caused ongoing staffing issues, there are always sufficient numbers to meet the needs under Title 22 regulations.

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: 09/14/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2022

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-20220907104725

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: TERNUS ADULT	FACILITY NUMBER: 197609327
	VISIT DATE: 09/15/2022

NARRATIVE

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From 9:00 to 9:45 a.m., LPAs reviewed staffing schedules for July, August and September 2022, client Individual Support Plans, Regional Center IPP’s and physician reports. The staffing schedules, the Administrator has compiled, always reflect at least one (1) staff member present, apart from when clients are at day program. Additionally, Administrator states that all clients are independent and can do activities of daily living for themselves, staff for the most part provide supervision and reminders to clients. Individual Support Plans and other documents obtained also corroborate this statement. Based on interviews conducted, documents obtained and reviewed, this allegation is deemed unsubstantiated at this time. No deficiencies issued. Report signed and delivered.

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Melissa Ruiz	TELEPHONE: (818) 401-7980
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2022

LIC9099 (FAS) - (06/04)

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