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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609334
Report Date: 09/20/2022
Date Signed: 09/20/2022 11:03:53 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
08/29/2022 and conducted by Evaluator Shira Stamps
COMPLAINT CONTROL NUMBER: 31-AS-20220829125330
FACILITY NAME:PEOPLE'S CARE GILLESPIEFACILITY NUMBER:
197609334
ADMINISTRATOR:LAKESHA BUCHANANFACILITY TYPE:
735
ADDRESS:4021 GILLESPIE RDTELEPHONE:
(661) 269-2676
CITY:ACTONSTATE: CAZIP CODE:
93510
CAPACITY:4CENSUS: 4DATE:
09/20/2022
UNANNOUNCEDTIME BEGAN:
10:33 AM
MET WITH:Lakesha Buchanan, AdministratorTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Facility staff smoke marijuana while providing care and supervision to clients.
INVESTIGATION FINDINGS:
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At 10:33am, Licensing Program Analyst (LPA) Shira Stamps arrived at the facility mentioned above to conduct a subsequent complaint visit. LPA met with the Administrator Lakesha Buchanan and explained the reason for this visit.

On 9/02/22, LPA conducted interviews and collected relevant documents. Additional interviews were conducted on 9/12/22.

Allegation: Facility staff smoke marijuana while providing care and supervision to clients.
It is alleged that the morning staff (Staff #1 (S1) and Staff #2 (S2) take clients on walks and the clients are asked to walk ahead of staff while staff smoke marijuana (weed). Interviews with three (3) out of four (4) clients indicated that clients have smelled S1 and S2 smoking marijuana while on their walks.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Shira Stamps
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
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-20220829125330
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: PEOPLE'S CARE GILLESPIE
FACILITY NUMBER: 197609334
VISIT DATE: 09/20/2022
NARRATIVE
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The clients smoke cigarettes, and they indicated they know how marijuana smells and indicated that is how they were able to identify that S1 and S2 were smoking marijuana. Interviews with five (5) out of six (6) staff members indicated they have never witnessed nor smelled staff smoking marijuana. Staff members that worked the same shifts with S1 and S2 indicated they have never smelled marijuana on the S1 and S2. Due to lack of supportive evidence the allegation, “Facility staff smoke marijuana while providing care and supervision to clients,” is deemed unsubstantiated.

Exit interview conducted. Copy of report delivered to Administrator.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Shira Stamps
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2