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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610239
Report Date: 05/23/2025
Date Signed: 05/23/2025 02:41:13 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
03/07/2025 and conducted by Evaluator Melissa Spaeth
COMPLAINT CONTROL NUMBER: 31-AS-20250307170736
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:
05/23/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Paulette JamesTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff yelled at a resident in care.
Staff did not ensure that tobacco is inaccessible to residents in care.
Staff did not ensure that a hazardous item was inaccessible to residents in care.
Staff did not accompany a resident to a medical appointment
Staff used foul language in the presence of a resident.
INVESTIGATION FINDINGS:
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On 5/23/2025 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 a staff member. LPA explained the purpose of the visit was to deliver the findings.

The investigation consisted of the following: On 3/13/2025, LPA Spaeth conducted an unannounced complaint investigation. LPA received copies of the clients’ files, and a copy of the staff work schedule and phone numbers. On 5/13/2025, LPA interviewed four (4) out of four (4) clients and five (5) out of eleven (11) staff members via phone call at 4:00 pm until 5:00 pm.

Regarding the allegation, Staff yelled at client: It is being alleged a staff member was upset with a client and yelled at the client. C1 stated this occurred. C2-C4 stated this

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

DATE: 05/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2025
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-20250307170736
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: 05/23/2025
NARRATIVE
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did not occur. S1-S5 stated they have never yelled at a client. The Licensee denied this has happened.

Regarding the allegation, Staff did not ensure that tobacco is inaccessible to residents in care. It is being alleged a client left tobacco on the kitchen table. C1 stated this occurred; C2-C4 stated this has never occurred. S1-S5 confirmed tobacco is not left out on the kitchen table. The Licensee denied this occurred. During LPA’s 3/13/2025 visit, LPA did not observe tobacco on the kitchen table.

Regarding the allegation, Staff did not ensure that a hazardous item was inaccessible to residents in care: It is being alleged a client left a lighter out on the kitchen table. C1 confirmed this occurred. C2-C4 denied this occurred. S1-S5 stated the client who uses the lighter will ask staff for the lighter, the staff member will give the lighter to the client, the client will go outside to use the lighter, and the client will then give the lighter to staff members. S1-S5 unanimously stated the lighter is always locked in a kitchen cabinet. The Licensee denied this occurred.

During LPA’s visit on 5/16/2025, LPA observed a client asked for the lighter, staff unlocked a kitchen cabinet, gave the lighter to the client and the client went outside. Upon returning into the kitchen, the client handed the lighter to the staff member.

Regarding the allegation, Staff did not accompany resident to a medical appointment: It is being alleged a client was left alone during a client’s medical appointment. C1 stated this occurred. C2-C4 stated staff always drives them to the appointment and accompanies them to the medical office. S1-S5 and the Licensee denied this occurred.

Regarding the allegation, Staff used foul language in the presence of a resident. It is being alleged a staff member cursed in the presence of a client. C1 stated this occurred. C2-C4 denied the allegation. S1-S5 and the Licensee also denied this occurred.

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: 05/23/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/23/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2