197609853-4-26-2024-31-AS-EMIR-D59MWZ-20240514095910

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609853
Report Date: 04/26/2024
Date Signed: 04/26/2024 04:15:52 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 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
05/19/2021 and conducted by Evaluator Mariana Agban

COMPLAINT CONTROL NUMBER: 31-AS-20210519164840

FACILITY NAME:	REESEJOY CARE HOME II		FACILITY NUMBER:	197609853
ADMINISTRATOR:	RAMIREZ, ROBERTO		FACILITY TYPE:	740
ADDRESS:	17544 SAN JOSE ST		TELEPHONE:	(805) 832-8792
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	6	CENSUS: 5	DATE:	04/26/2024
		UNANNOUNCED	TIME BEGAN:	01:40 PM
MET WITH:	Raynaldo Reyes- Staff		TIME COMPLETED:	04:30 PM

ALLEGATION(S):

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Administrator exposed himself to a resident
Administrator offered unprescribed medication

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Mariana Agban and Michael Cava conducted an unannounced subsequent complaint visit at this facility to investigate the above allegations. LPAs met with staff and explained the reason for the visit. LPAs requested copies of LIC 500 and Staff roster. At 1:45 PM LPAs conducted a physical plant tour, to ensure health and safety of the residents are protected and physical plant is in compliance with Title 22 Regulations.

Allegation: Administrator exposed himself to a resident
It was alleged that Administrator has exposed himself to R1. Administrator denied the allegation. Interviews with 4out of 5 residents denied the allegation. Interviews with 2 out of 2 staff members denied the allegation. Administrator stated that such behavior is not tolerated by himself or anyother staff. Furthermore, there were no witnesses that were identified to corroborate with the allegation.
Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time. (Continue on 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Mariana Agban	TELEPHONE: 818-738-4525
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2024

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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Control Number 31-AS-20210519164840

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
N LA & CEN COA AC/SC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: REESEJOY CARE HOME II	FACILITY NUMBER: 197609853
	VISIT DATE: 04/26/2024

NARRATIVE

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Allegation: Administrator offered unprescribed medication.
It was alleged that Administrator had offered R1 viagra on several occasions. Administrator denied the allegation. Interview with 4 out of 5 residents denied the allegation, adding they've never been administered medication that wasn't prescribed. Interview with Administrator revealed that although administrator uses viagra for their own medical condition, they haven't offered any unprescribed medication to R1 and or any of the other residents. Administrator explained the severity of offering unpresecribed medication to any of the residents. Based on interviews, there is not enough information to verify the allegation. Therefore, the allegation is UNSUBSTANTIATED at this time.

Exit interview conducted and a copy of this report delivered.

SUPERVISOR'S NAME: Eva Miller	TELEPHONE: (818) 596-4373
LICENSING EVALUATOR NAME: Mariana Agban	TELEPHONE: 818-738-4525
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2024

LIC9099 (FAS) - (06/04)

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