<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610239
Report Date: 05/07/2025
Date Signed: 05/07/2025 03:34:44 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
02/10/2025 and conducted by Evaluator Melissa Spaeth
COMPLAINT CONTROL NUMBER: 31-AS-20250210083320
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: 4DATE:
05/07/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Paulette JamesTIME COMPLETED:
01:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Licensee is retaining a resident with a higher level of care need.
Staff are not allowing resident to make phone calls while in care.
Staff are not according resident dignity while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/07/2025 Licensing Program Analyst (LPA) Melissa Spaeth conducted a subsequent complaint investigation at the above facility to address the following allegation(s). LPA Spaeth met with WHO. LPA explained the purpose of the visit was to deliver the findings.

The investigation consisted of the following: On 2/13/2025, LPA Spaeth conducted an unannounced complaint investigation. LPA received copies of the clients’ files, and a copy of the staff phone numbers. On 5/05/2025, LPA interviewed three (3) out of four (4) clients and three (3) out of nine (9) staff members via phone call at 4:00 pm until 5:00 pm.

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

DATE: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
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-20250210083320
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: 05/07/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Regarding the allegation, Licensee is retaining a resident with a higher level of care need: It is being alleged a client requires additional assistance from staff that they are not receiving and the client is unable to ambulate throughout the facility resulting in an injury. LPA Spaeth reviewed the clients’ physician’s report and observed what assistance the clients require for their activities of daily living. Three clients (C1-C3) confirmed they receive the assistance they need from the staff and, also confirmed they have not been injured due to staff neglect. C4 was unavailable for an interview. Based upon LPA’s review of the clients’ records and client interviews, the clients’ needs are being met.

Three staff members (S1-S3) confirmed they provide the assistance the clients need each day and stated a client has not been injured due to staff neglect. During LPA’s 2/13/2025 visit, LPA observed C1-C3 were able to ambulate throughout the facility with no issues. C4 was not available for observation.

Regarding the allegation, Staff are not allowing resident to make phone calls while in care: It is being alleged the clients do not have access to the facility phone. C1-C3 unanimously confirmed staff allow clients to use the facility phone. C4 was unavailable for an interview. S1-S3 denied this occurred.

Regarding the allegation, Staff are not according resident dignity while in care: It is being alleged staff refuse to assist a client in care resulting in a client wetting themselves. C1-C3 denied this occurred. S1-S3 unanimously confirmed they assist clients when clients request their help.

Based upon LPA’s review of client records, interviews and LPA’s observations, the above allegations are 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: 05/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2