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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609483
Report Date: 11/22/2022
Date Signed: 11/22/2022 03:25:32 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
09/09/2021 and conducted by Evaluator Rosaura Valenzuela
COMPLAINT CONTROL NUMBER: 31-AS-20210909144659
FACILITY NAME:GRANDEURFACILITY NUMBER:
197609483
ADMINISTRATOR:SMITH, JASONFACILITY TYPE:
735
ADDRESS:2463 GRANDEURTELEPHONE:
(855) 302-3331
CITY:ALTADENASTATE: CAZIP CODE:
91001
CAPACITY:4CENSUS: 4DATE:
11/22/2022
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Joey Perez, AdministratorTIME COMPLETED:
03:25 PM
ALLEGATION(S):
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Facility staff hit client

Facility staff spoke inappropriately to client

Facility staff did not prevent clients from engaging in inappropriate interactions
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Rosaura Valenzuela conducted an unannounced visit to deliver the findings for the above noted allegations. LPA met with Administrator Joey Perez and explained the purpose of the visit.

It was reported that facility Staff #1 (S1) hit Client #1 (C1). To investigate this allegation, on 9/15/2021 at 10:45am, LPA initiated staff interviews. Interviews revealed that C1 has a history of eloping, suicidal ideation, and of making false allegations. Staff deny hitting any clients.

On 11/22/2022, between 1:45pm and 2:25pm, LPA spoke with facility clients, including C1. Interviews revealed that facility staff do not hit clients, but do re-direct them when necessary. C1 stated that they were upset with their parent for not answering their phone calls and that S1 was trying to redirect them. C1 accused S1 of hitting them in the stomach becase they were upset. C1 admitted that is was not true. On 11/08/2022, between 2:30pm and 3:30pm, LPA reviewed facility documents and a letter of findings Continue on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
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-20210909144659
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: GRANDEUR
FACILITY NUMBER: 197609483
VISIT DATE: 11/22/2022
NARRATIVE
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from the Regional Center. Documents confirmed what staff told LPA. The Regional Center findings regarding this case were unsubstantiated.

Based on interviews and records review, there is not sufficient information to support this allegation. Therefore, this allegation has been deemed UNSUBSTANTIATED at this time.

It was alleged that facility staff #1 (S1) cussed at C1. To investigate this allegation, on 9/15/2021 at 10:45am, LPA initiated staff interviews. Interviews revealed that staff did not speak inappropriately to client. Staff were attempting to re-direct and calm down C1. C1 was upset because their parent would not answer the phone. On 11/22/2022 between 1:45pm and 2:25pm, LPA spoke with facility clients, including C1. Interviews revealed that staff do not cuss at clients, but sometimes cuss amongst themselves. C1 stated that they cussed at staff. Staff did not cuss at them. A review of facility files conducted on 11/22/2022 between 2:30pm and 3:00pm did not reveal any supporting information.

Based on interviews and record review there is not sufficient information to support this allegation. Therefore, this allegation has been UNSUBSTANTIATED at this tine.

It was reported that facility staff did not prevent client from engaging in appropriate interactions with another client. To investigate this allegation, on 9/15/2021 at 10:45am, LPA initiated staff interviews. Interviews revealed that no client was touched inappropriately by another client. C1 and Client #2 (C2) liked to play and tickle each other.

On 11/22/2022 between 1:45pm and 2:25pm, LPA spoke to facility clients, including C1. Interviews revealed that clients get along with each other and like to joke around. C1 stated that C2 was their friend. They liked to tickle each other and be playful. A review of facility files conducted on 11/22/2022 between 2:30pm and 3:00pm did not reveal any supporting information.

Based on interviews and records review there is not sufficient information to support this allegation. Therefore, this allegation has been UNSUBSTANTIATED at this time.

Exit interview conducted and a copy of the report was issued.
SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Rosaura Valenzuela
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2