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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610239
Report Date: 05/16/2025
Date Signed: 05/16/2025 03:47:27 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
05/15/2025 and conducted by Evaluator Melissa Spaeth
COMPLAINT CONTROL NUMBER: 31-AS-20250515145352
FACILITY NAME:DIAMOND CARE FACILITYFACILITY NUMBER:
197610239
ADMINISTRATOR:RFACILITY TYPE:
735
ADDRESS:1632 AMARGOSA DR.TELEPHONE:
(661) 526-5371
CITY:PALMDALESTATE: CAZIP CODE:
93551
CAPACITY:4CENSUS: 4DATE:
05/16/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Kelly WalkerTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff did not ensure facility restroom was adequately cleaned
Staff spoke to resident in an inappropriate manner.
INVESTIGATION FINDINGS:
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On 5/16/2025, 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 spoke to the Licensee, Wilda Tillman at 11:00 am

LPA Spaeth toured the facility at 11:00 am until 11:20 am. LPA Spaeth interviewed four (4) out of four (4) clients at 11:20 am until 11:45 am. LPA interviewed five (5) out of nine (9) staff members at 11:45 am until 12:30 pm.

Regarding the allegation, Staff did not ensure facility restroom was adequately cleaned: It is being alleged a staff member did not thoroughly clean the bathtub after a

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

DATE: 05/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025
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-20250515145352
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: 05/16/2025
NARRATIVE
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client requested the staff clean the tub. Three (C1-C3) clients stated the bathtub is clean when they use it. C1 stated the bathtub was not thoroughly cleaned when they took a shower. The five staff (S1-S5) confirmed they clean the bathrooms several times during their shift. The five staff member also stated they clean at the beginning of their shift, check the bathrooms every two to three hours, and clean the bathrooms before the end of their shift. The Licensee denied the allegation.

At 10:20 am, LPA also observed the staff member cleaned bathroom #1 before LPA toured the facility. At 11:00 am, LPA toured the facility and observed the three bathrooms were clean.

Regarding the allegation, Staff spoke to resident in an inappropriate manner: It is being alleged a staff was disrespectful to a client when a client requested assistance. C2-C3 stated this has not occurred; C1 confirmed it did occur. S1-S5 unanimously stated they have never been disrespectful to clients when clients request their assistance and they have never heard a staff member speaking to another client in an inappropriate manner. The Licensee denied the allegation.

Based on staff and resident interviews and LPA’s observations, the allegations are unsubstantiated.

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

DATE: 05/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2