197610136-8-5-2021-31-AS-NGID-C8PU2V-20211112141234

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610136
Report Date: 08/05/2021
Date Signed: 08/05/2021 01:42:33 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
07/09/2021 and conducted by Evaluator Melissa Ruiz

PUBLIC

COMPLAINT CONTROL NUMBER: 31-AS-20210709130113

FACILITY NAME:	REM CALIFORNIA LLC - NORTH HILLS		FACILITY NUMBER:	197610136
ADMINISTRATOR:	TURYASIIMWA, ASSUMPTAH		FACILITY TYPE:	735
ADDRESS:	16312 TUPPER STREET		TELEPHONE:	(818) 830-5275
CITY:	NORTH HILLS	STATE: CA	ZIP CODE:	91343
CAPACITY:	4	CENSUS: 3	DATE:	08/05/2021
		UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Ridwan O. Olatoyinbo		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff did not provide adequate food service to resident.

INVESTIGATION FINDINGS:

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At 1:05 p.m. Licensing Program Analysts (LPAs) Melissa Ruiz and Angela Panushkina conducted an unannounced subsequent complaint visit to deliver the findings determined for the allegation mentioned above. LPA’s were greeted by staff Claudia Cruz. The purpose of this visit was explained to the Administrator Ridwan Olasunkanmi Olatoyinbo. Entrance interview conducted.The complainant concern is that staff did not provide adequate food service to resident. On July 16, 2021 LPA conducted the initial visit in which LPA conducted a tour and inspected food service at 9:30 a.m. LPA conducted interviews with 3 out of 4 residents and other witness. Based on the information gathered from the interviews, two out of three residents reported being satisfied with the food services provided. The witness interviewed, believed that the food is R1’s coping mechanism for depression. The witness has not noted any issues with inadequate food service. In addition, LPAs toured the facility and noted the kitchen to have adequate food supply for both perishable and non-perishable items. LPA noted a weekly food menu which was posted. Upon the completion of this investigation, there is not enough substantial evidence or witnesses to concur the details of the alleged allegation. Exit interview conducted and a copy of the report will be provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Melissa Ruiz
LICENSING EVALUATOR SIGNATURE:	DATE: 08/05/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2021

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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