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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610239
Report Date: 04/02/2025
Date Signed: 04/02/2025 04:25:08 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 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
03/27/2025 and conducted by Evaluator Melissa Spaeth
COMPLAINT CONTROL NUMBER: 31-AS-20250327152400
FACILITY NAME:DIAMOND CARE FACILITYFACILITY NUMBER:
197610239
ADMINISTRATOR:WHITE-TILLMAN, WILDAFACILITY TYPE:
735
ADDRESS:1632 AMARGOSA DR.TELEPHONE:
(661) 916-9090
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY:4CENSUS: 3DATE:
04/02/2025
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Paulette JamesTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff served expired food to a resident in care.
INVESTIGATION FINDINGS:
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On 4/02/2025, Licensing Program Analyst (LPA) Melissa Spaeth initiated a complaint investigation for the allegation(s) listed above. LPA met with a staff member. LPA Spaeth explained the purpose of the visit was to tour the facility, interview residents, interview staff, and present the findings.

LPA Spaeth toured the facility at 12:00 pm until 12:25 pm and checked the perishable and non-perishable food to determine if any food had expired. LPA Spaeth interviewed two (2) out of three (3) clients at 12:25 pm until 12:45 pm. LPA interviewed four (4) out of eight (8) staff members at 12:45 pm until 1:10 pm.

Continued 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2025
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-20250327152400
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: DIAMOND CARE FACILITY
FACILITY NUMBER: 197610239
VISIT DATE: 04/02/2025
NARRATIVE
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Regarding the allegation, Staff served expired food to a resident in care: It is being alleged a client was served expired apple sauce on 3/24/2025 and the jar did not display a manufacturer’s expiration date. Also, it is alleged the jar was opened on March 2, 2025 but should have been discarded seven to ten days after opening the jar.

During LPA’s facility tour, LPA Spaeth observed the apple sauce jar was stored in the refrigerator. An expiration date was clearly indicated on the jar and was June 23, 2026. Also, LPA observed a note on the jar which stated the jar was opened on March 2, 2025. LPA observed the Nutrition Facts stated “refrigerate after opening” but did not state to discard seven to ten days after opening. LPA observed the contents of the jar did not contain mold. LPA observed the non-perishable and perishable food items had not expired.

S1-S4 unanimously confirmed the staff have never served expired food. The staff also confirmed the food in the refrigerator and in the canned good cabinet are checked daily by staff. All expired food is discarded.

Two clients (C1-C2) were interviewed. C3 was unavailable. C2 stated the staff have never served expired food and they have observed staff discarding food that has expired. C1 stated they were concerned a food item might not have been safe to eat but stated staff offered the same food item that had not been opened.

Based upon staff, client interviews and LPA's observations, the allegation is unsubstantiated.

Exit interview conducted and a copy of the report was given.

SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE:

DATE: 04/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2