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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609683
Report Date: 10/06/2022
Date Signed: 10/06/2022 03:37:45 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
11/08/2021 and conducted by Evaluator Tuesday Cabiness
PUBLIC
COMPLAINT CONTROL NUMBER: 31-AS-20211108111850
FACILITY NAME:LONE STAR BOARD & CARE TUJUNGAFACILITY NUMBER:
197609683
ADMINISTRATOR:ALEXANDER, OTISFACILITY TYPE:
735
ADDRESS:10117 TUJUNGA CANYON BLVDTELEPHONE:
(818) 875-4501
CITY:TUJUNGASTATE: CAZIP CODE:
91042
CAPACITY:35CENSUS: 26DATE:
10/06/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Rod Stinson & Gio MonicoTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Client is not receiving allowance while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyts (LPAs) Tuesday Cabiness and Tihesha Smith conducted a subsequent visit to deliver the final findings of the allegation mentioned above. LPA(s) met with Co-Aministrator Rod Stinson and Facility Manager Gio Monico, who were informed the reason of the visit. The following was determined:

It was alleged that client #1 (C1) is not receiving allowance while in care. On 11/18/2021 from 1130am to 3pm, LPA Tuesday reviewed facility documents and interviewed facility staff. During today's visit, from 1pm to 2pm, LPA(s) conducted interviews with clients, C1, and facility staff. Information obtained through documentation, and interviews revealed that P&I funds are being distributed monthly to clients. Although C1 reported to LPA(s) that C1 does not get a monthly allowance, documentation received today, disputes that claim. LPA also randomly reviewed other client's P&I records, and it was observed that records were accurate and funds are being distributed. Facility staff also reported to LPA(s) that C1 requests for funds every month before funds are deposited into the facility's business account. So when the facility receives the funds from Department of Health Services, then C1's money is given to C1. Also LPA has been unsuccessful in
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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-20211108111850
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: LONE STAR BOARD & CARE TUJUNGA
FACILITY NUMBER: 197609683
VISIT DATE: 10/06/2022
NARRATIVE
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in obtaining additional information from the complainant. Therefore, based on documentation and interviews, the allegation "Client is not receiving allowance while in care", is UNSUBSTANTIATED at this time.
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Tuesday Cabiness
LICENSING EVALUATOR SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2