197609961-12-14-2023-31-AS-MVAO-D2B2ZN-20240209165036

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609961
Report Date: 12/14/2023
Date Signed: 12/14/2023 02:28:32 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
12/08/2023 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20231208151930

FACILITY NAME:	A CARING TOUCH BOARD AND CARE		FACILITY NUMBER:	197609961
ADMINISTRATOR:	PAIGE ESQUIVEL		FACILITY TYPE:	740
ADDRESS:	10348 LARAMIE STREET		TELEPHONE:	(818) 477-2990
CITY:	CHATSWORTH	STATE: CA	ZIP CODE:	91311
CAPACITY:	6	CENSUS: 6	DATE:	12/14/2023
		UNANNOUNCED	TIME BEGAN:	09:40 AM
MET WITH:	Paige Esquivel, Administrator		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility does not maintain accurate staff records.
Facility does not have a qualified administrator.
Facility housed staff in the facility garage.

INVESTIGATION FINDINGS:

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At 9:40am, Licensing Program Analysts (LPAs) Angela Panushkina and Huma Rahimi conducted an unannounced complaint visit at this facility to investigate the above allegations. LPAs met with the Administrator and explained the reason for the visit.

During course of the investigation, interviews and record reviews were made. At 9:45am, LPAs requested resident and staff roster. At 9:50am, LPAs requested copies of pertinent information which include, but not limited to facility staff files, Administrator certificate, etc. relevant to the investigation. At approximately 9:55am, 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. Between 10:00am – 12:30pm, LPAs interviewed the Licensee, Administrator, two (2) staff and three (3) out of six (6) residents, who were able to communicate.

Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Angela Panushkina	TELEPHONE: 747-230-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023

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-20231208151930

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: A CARING TOUCH BOARD AND CARE	FACILITY NUMBER: 197609961
	VISIT DATE: 12/14/2023

NARRATIVE

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Allegation: Facility does not maintain accurate staff records.

It was alleged that the facility listed non-staff as staff members for the purpose of obtaining Covid-19 vaccinations for them. To investigate this allegation LPAs conducted an interview with the Licensee and the Administrator and were informed that during the COVID (in 2021), facility had six (6) to seven (7) staff members working and during that time, the staff would call out, quite, etc. In addition, Licensee informed LPAs that during the COVID, staff would come and go and every new hired staff member got vaccinated, since it was a requirement at that time. Moreover, LPAs conducted an interview with two (2) staff members and both denied the allegation and reported no one, other than the facility staff member, received vaccinations. Lastly, LPAs observed former staff files in a cabinet that were archived and kept locked in the garage and current staff files were located in a kitchen cabinet and kept locked. LPAs reviewed the current facility staff schedule (LIC500) and the schedule accurately reflected who the LPAs observed working at the facility today.

Allegation: Facility does not have a qualified administrator.

To investigate this allegation LPAs conducted review of Administrators' certificate issued on 04/16/2021. LPAs observed the expiration date was 11/29/2023. Interview with the Administrator revealed that all required courses have been completed and all documents have been already mailed out around November 15^th , 2023. At 11:39am, LPA Panushkina contacted "Administrator Certification Unit" and confirmed that the application received and is currently being processed.

Allegation: Facility housed staff in the facility garage.

To investigate this allegation, LPAs observed/reviewed the facility sketch and it was noted that the garage is used as a garage not as a room. At 9:58am, during the walk through, LPAs entered the attached garage, located by the kitchen, and observed many storage boxes in the garage. According to staff, the facility has only one awake staff at night, and the garage is being used for an extra storage and emergency supply.

Based on inspection, observation and interviews there is no sufficient evidence to support the allegations. Therefore, all three (3) allegations are Unsubstantiated at this time.

Exit interview conducted and copy of this report signed and delivered.

SUPERVISOR'S NAME: Nichelle Gillyard	TELEPHONE: (818) 596-4341
LICENSING EVALUATOR NAME: Angela Panushkina	TELEPHONE: 747-230-3364
LICENSING EVALUATOR SIGNATURE:	DATE: 12/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/14/2023

LIC9099 (FAS) - (06/04)

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