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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609334
Report Date: 01/26/2024
Date Signed: 01/26/2024 12:49:26 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 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
01/19/2024 and conducted by Evaluator Lorena Casillas
COMPLAINT CONTROL NUMBER: 31-AS-20240119085140
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: 3DATE:
01/26/2024
UNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Daniel MoralesTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff intimidated client in care
Staff yelled at client in care
INVESTIGATION FINDINGS:
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On 01/26/24 at 09:50 am Licensing Program Analyst (LPA), Lorena Casillas conducted an unannounced complaint visit to investigate the above stated allegation. LPA met with Administrator Daniel Morales and explained the reason for the visit.

At 10:20 AM LPA Casillas conducted a physical plant tour with the Administrator. During the investigation, interviews and record reviews were conducted. LPA requested client roster, LIC 500, Bond and liability insurance. LPA requested copies of pertinent information relevant to the investigation including, but not limited to, client records, staff records and any other information pertaining to client care. One (1) client was in the home and two (2) clients were at day program. During LPA’s time spent at the facility two (2) clients returned from day program and LPA was able to interview them.

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024
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-20240119085140
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.RO, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: PEOPLE'S CARE GILLESPIE
FACILITY NUMBER: 197609334
VISIT DATE: 01/26/2024
NARRATIVE
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Allegation #1: Staff intimidated client in care.

It was alleged that facility staff intimidated clients in care by yelling and making threats. To investigate this allegation, during today’s visit, LPA Casillas interviewed three (3) out of three (3) clients and five (5) out of five (5) staff present. LPA observed that the staff members did not interfere with or intimidate any of the clients during the interviews. In addition, five (5) staff members denied ever intimidating clients in care.



Based on the inspection, observation and record review, there is not sufficient information to verify the allegation. Therefore, the allegation is deemed Unsubstantiated.

Allegation#2: Staff yells at client in care.



It was alleged that staff were yelling at clients. Interviews with five (5) staff that were present during this investigation, including the administrator, denied the allegation. Interviews with Client #1 (C1), Client #2 (C2) and Client #3 (C3) also denied the allegation. Furthermore, there were no witnesses to the allegation that staff may have yelled at clients.

Based on the inspection, observation and record review, there is not sufficient information to verify the allegation. Therefore, the allegation is deemed Unsubstantiated.

Exit interview conducted. Copy of report provided to Administrator.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2