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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609727
Report Date: 11/04/2024
Date Signed: 11/04/2024 03:40:24 PM

Substantiated


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
10/29/2024 and conducted by Evaluator Lorena Casillas
COMPLAINT CONTROL NUMBER: 31-AS-20241029153645
FACILITY NAME:WE R ONE FAMILY HOME, INC.FACILITY NUMBER:
197609727
ADMINISTRATOR:TYRONE QUALSFACILITY TYPE:
735
ADDRESS:723 E. OLDFIELD STTELEPHONE:
(562) 644-7260
CITY:LANCASTERSTATE: CAZIP CODE:
93535
CAPACITY:4CENSUS: 3DATE:
11/04/2024
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Tyrone QualsTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff yelled at a client while in care
Staff embarrassed a client while in care
Staff inappropriately grabbed a client
INVESTIGATION FINDINGS:
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On 11/04/24 at 09:45 am Licensing Program Analyst (LPA) Lorena Casillas conducted an unannounced complaint visit to investigate the above stated allegations. LPA called Administrator Tyrone Quals to let them know the reason for the visit and Administrator stated that they would be able to meet with LPA. Administrator arrived shortly after, and LPA explained the reason for the visit.

At 10:10 am LPA Casillas conducted a physical plant tour with staff member. During the investigation, interviews and record reviews were conducted from 10:30 pm to 01:30pm. LPA requested copies of resident roster and updated LIC 500. LPA requested copies of pertinent information relevant to the investigation including but not limited to appraisals, and any information pertaining to residents and care.

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

DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024
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 4
Control Number 31-AS-20241029153645
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: WE R ONE FAMILY HOME, INC.
FACILITY NUMBER: 197609727
VISIT DATE: 11/04/2024
NARRATIVE
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Allegation #1: Staff yelled at a client while in care.

It is alleged that staff yelled at a client while in care. Regarding this allegation it was reported that Client #1 (C1) and the Administrator were at Walmart for an outing where there was an accident in the candy isle and some candy was spilled. C1 misunderstood a Walmart employee’s wink as the ok to pocket one of the spilled candies. When C1 and the Administrator were at the checkout, the Administrator began to yell at C1 in front of others asking why C1 was stealing. During the interview the Administrator denied this allegation stating that the incident did not happen like it was reported. The Administrator stated that they noticed that C1 had pocketed a candy based on the observations of the cashier and C1’s suspicious behavior. Administrator states that they were simply addressing the situation in the moment that it was discovered that C1 had a candy in their pocket and that at no point did the Administrator yell at C1. Interview with two (2) out of three (3) clients revealed that Administrator did and has in fact yelled at clients while in the presence of others. Furthermore, it was revealed by clients and staff that other staff members have yelled at clients on multiple occasions. Interview with clients and staff members revealed that that Administrator admitted to yelling at C1 and then recanted the admission. Therefore, based on observations and interviews this allegation is deemed Substantiated.

This is a repeat violation and a civil penalty will be issued. Please see LIC9099-D and LIC421FC.

Continued on LIC9099-C

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

DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20241029153645
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: WE R ONE FAMILY HOME, INC.
FACILITY NUMBER: 197609727
VISIT DATE: 11/04/2024
NARRATIVE
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Allegation #2: Staff embarrassed a client while in care.

It is alleged that staff embarrassed a client while in care. Regarding this allegation it was reported that Client #1 (C1) and the Administrator were at Walmart for an outing where there was an accident in the candy isle and some candy was spilled. When C1 and the Administrator were at the checkout, the Administrator began to yell at C1 in front of others causing C1 to be embarrassed. During the interview the Administrator denied this allegation stating that the incident did not happen like it was reported. The Administrator stated that they noticed that C1 had pocketed a candy based on the observations of the cashier and C1’s suspicious behavior. Administrator states that they were simply addressing the situation in the moment that it was discovered that C1 had a candy in their pocket and that at no point did the Administrator embarrass C1. Interview with two (2) out of three (3) clients revealed that Administrator did and has in fact yelled at clients while in the presence of others causing them to be embarrassed. Furthermore, it was revealed by clients and staff that other staff members have yelled at clients on multiple occasions with the intent to humiliate and embarrass them. Interview with staff members and clients revealed that that Administrator admitted to yelling at C1 and then recanted the admission. Therefore, based on observations and interviews this allegation is deemed Substantiated.

Allegation #3: Staff inappropriately grabbed a client.

It is alleged that staff inappropriately grabbed a client. Regarding this allegation it was reported that Client #1 (C1) and the Administrator were at Walmart for an outing where there was an accident in the candy isle and some candy was spilled. C1 misunderstood a Walmart employee’s wink as the ok to pocket one of the spilled candies. When C1 and the Administrator were at the checkout, the Administrator grabbed C1 in front of others to pull C1’s hand out of their pocket to reveal the candy. During the interview the Administrator denied this allegation stating that they were simply addressing the situation in the moment that it was discovered that C1 had a candy in their pocket, but that they never laid hands of C1. Administrator also denied the scenario reported above, stating that C1 took candy with the intent to steal. Interview with C1 revealed that while C1 does admit to stealing, that Administrator did in fact grab C1’s hand while in the presence of others and later tried to coach C1 into stating that Administrator did not touch C1. Interview with staff members revealed that that Administrator admitted to grabbing C1’s hand and then recanted the admission. Therefore, based on observations and interviews this allegation is deemed Substantiated.

Civil Penalty issued. Appeals rights discussed and provided. Exit interview conducted and a copy of this report was given to Administrator.

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

DATE: 11/04/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 31-AS-20241029153645
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: WE R ONE FAMILY HOME, INC.
FACILITY NUMBER: 197609727
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/04/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
11/04/2024
Section Cited
CCR
80072(a)(1)
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80072 Personal Rights (a)Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons. This was not met as evidence by:
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Licensee agrees to retake vendorized training on Personal Rights and will submit proof of training via email to LPA by 11/4/2024.
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Based on observations and interviews the Licensee failed to ensure that clients personal rights were protected in which staff yelled and embarrassed clients in care. This poses an immediate potential health and safety risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Lorena Casillas
LICENSING EVALUATOR SIGNATURE:

DATE: 11/04/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024
LIC9099 (FAS) - (06/04)
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