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Department of
SOCIAL SERVICES
Community Care Licensing
COMPLAINT INVESTIGATION REPORT
Facility Number:
197609544
Report Date:
10/21/2022
Date Signed:
10/21/2022 05:54:01 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
10/14/2022
and conducted by Evaluator
Wendell Smith
COMPLAINT CONTROL NUMBER:
31-AS-20221014143942
FACILITY NAME:
EPT BETTER LIVING
FACILITY NUMBER:
197609544
ADMINISTRATOR:
TABACH, ELENA
FACILITY TYPE:
735
ADDRESS:
18217 WELBY WAY
TELEPHONE:
(818) 457-4199
CITY:
RESEDA
STATE:
CA
ZIP CODE:
91335
CAPACITY:
4
CENSUS:
4
DATE:
10/21/2022
UNANNOUNCED
TIME BEGAN:
03:45 PM
MET WITH:
Proserfina Espiritu
TIME COMPLETED:
05:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff hit a client while in care
Staff pushed a client while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced subsequent visit to finish investigation into the allegations above. LPA met with facility staff and explained the reason for this visit.
Regarding the allegations above it is alleged that staff #1 (S1) hit client#1 (C1) with a broom and handled C1 in a rough manner during an incident on 9/14/22. LPA conducted the initial visit on 10/17/22 where interviews were conducted with clients and staff. During today's visit LPA conducted interviews with clients and staff from 4-4:30pm. LPA spoke with S1 by telephone regarding the allegations. Information obtained through interviews with clients and staff revealed that on 9/14/22 during an incident in the morning S1 was observed by two witnesses hitting C1 with a broom and handling C1 in a rough manner. Interviews conducted reveal that there were no injuries caused by the hit to C1. Based on the information obtained through interviews conducted both allegations are deemed Substantiated. However both of these allegations were investigated in another complaint which came in four days before this complaint. Complaint control number (31-AS-20221010150155). Both allegations were also Substantiated and cited on that report on today's date. So no citations will be issued with this report. Exit Interview conducted. Copy of report issued.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME
:
Cassandra Harris
LICENSING EVALUATOR NAME
:
Wendell Smith
LICENSING EVALUATOR SIGNATURE
:
DATE:
10/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
10/21/2022
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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