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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610239
Report Date: 10/24/2025
Date Signed: 10/24/2025 01:36:43 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
08/14/2025 and conducted by Evaluator Melissa Spaeth
COMPLAINT CONTROL NUMBER: 31-AS-20250814113745
FACILITY NAME:DIAMOND CARE FACILITYFACILITY NUMBER:
197610239
ADMINISTRATOR:LATANYA DAVISFACILITY TYPE:
735
ADDRESS:1632 AMARGOSA DR.TELEPHONE:
(661) 526-5371
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY:4CENSUS: 4DATE:
10/24/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Paulette JamesTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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9
Staff handled resident in a rough manner causing injury
INVESTIGATION FINDINGS:
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On 10/24/2025 Licensing Program Analyst (LPA) Melissa Spaeth conducted a subsequent complaint investigation at the above facility to deliver findings for the above allegation(s). LPA Spaeth met with the staff member, Paulette James. LPA explained the purpose of the visit was to deliver the findings.

The investigation consisted of the following: On 8/15/2025 LPA Spaeth toured the facility from 10:00 am until 10:25 am. LPA Spaeth interviewed three out of nine staff members (S1-S3) on 10/14/2025 from 10:00 am until 11:00 am. LPA also interviewed two out of four clients (C1-C2) on 10/20/2025 from 2:00 pm until 3:00 pm.

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

DATE: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
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-20250814113745
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: 10/24/2025
NARRATIVE
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Regarding the allegation: Staff handled resident in a rough manner causing injury. It is alleged a staff member shoved a client against a door which caused the client pain. During interviews with staff, S1-S3 denied the allegation. During interviews with clients, one out of four clients confirmed this occurred and one client confirmed this did not occur. LPA Spaeth attempted to obtain the urgent care after summary, but C1 refused.

Based on interviews, there is insufficient evidence to verify the allegation. The allegation is hereby 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: 10/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2