197801689-4-3-2025-28-AS-DSIS-DGHRMP-20250509130902

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197801689
Report Date: 04/03/2025
Date Signed: 04/03/2025 02:53:34 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/01/2025 and conducted by Evaluator Daniel Konishi

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250401082148

FACILITY NAME:	FIRST CHANCE FOR THE DEVELOPMENTALLY DISABLED		FACILITY NUMBER:	197801689
ADMINISTRATOR:	TAMARU FRANCIS		FACILITY TYPE:	735
ADDRESS:	715 E. CHESTER ROAD		TELEPHONE:	(626) 858-1803
CITY:	COVINA	STATE: CA	ZIP CODE:	91723
CAPACITY:	6	CENSUS: 6	DATE:	04/03/2025
		UNANNOUNCED	TIME BEGAN:	09:09 AM
MET WITH:	Tamaru (Nikki) Francis, Administrator		TIME COMPLETED:	03:05 PM

ALLEGATION(S):

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Staff interfered with client’s visitation rights.
Staff spoke inappropriately to client in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced 10-day complaint visit at the facility and met with Tamaru (Nikki) Francis, Administrator to discuss the purpose for today's visit. The purpose of the visit is to investigate the above allegations.

The investigation consisted of the following: LPA interviewed the Administrator, Licensee, Staff #1 (S1) - Staff #2 (S2). LPA also interviewed Client #1 (C1) to Client #4 (C4). LPA attempted to interview Client #5 (C5) to Client #6 (C6) but was unable to interview since they were out of the facility and in the community. LPA interviewed Witness #1 (W1) to Witness #3 (W3). LPA also obtained the staff and client rosters. LPA obtained face sheets of C1 to C6, visitor policy, House Values, and Client’s Personal Rights. LPA reviewed ongoing staff training.

[Continued in LIC9099-C]

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/03/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20250401082148

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: FIRST CHANCE FOR THE DEVELOPMENTALLY DISABLED	FACILITY NUMBER: 197801689
	VISIT DATE: 04/03/2025

NARRATIVE

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The investigation revealed the following: in regards to the allegation "Staff interfered with client’s visitation rights.” It is alleged that the facility did not allow the visitors inside the home during visits. When they ask to come in, they are required to wait in the kitchen, and they are not allowed to visit the client’s room. They were required to pick up and drop off the client outside the home and call ahead to schedule visits. All staff interviewed denied the allegation. All staff interviewed indicated that visitors are allowed to visit at any time but as an recommendation and courtesy, they asked the visitors to contact the facility prior so that they can prepare and make sure that the client is home. LPA reviewed documentation of one visitor contacting the facility providing advance notice that they will be visiting and picking up their loved one as a courtesy but not a requirement. LPA also reviewed the facility’s visitor policy which states that clients have the right to visitors in which individuals are able to have visitors of their choosing at any time. Visitor Policy continues to state that individuals in the home will set their own House Values on visitors as they see fit. LPA attempted to interview two (2) out of six (6) clients but was unable to interview since they were all out of the facility and in the community. However, LPA interviewed four (4) out of six (6) clients and the clients denied the allegation and stated that the visitor can visit at any time. LPA interviewed three (3) out of three (3) witnesses and all witnesses stated that visits are allowed at any time but were informed by the facility as a recommendation to contact the facility in advance so that the facility can prepare and ensure that the client is home and available. Based on interviews conducted with facility staff, and facility clients, and record review, there was not enough supportive evidence to concur with the reported allegation.

Allegation: “Staff spoke inappropriately to client in care.” It is alleged that a facility staff speak inappropriately and bully clients in care. Interviews conducted with Admin, Licensee, and two (2) out of two (2) staff revealed that the facility staff do not speak inappropriately and does not bully the clients. Admin and Licensee also stated that there have been no written warnings issued to any staff regarding speaking inappropriately or bullying the clients. LPA attempted to interview two (2) out of six (6) clients but was unable to interview since they were all out of the facility and in the community. Interviews conducted with four (4) out of six (6) clients revealed that the facility staff does not inappropriately or bully the client. LPA interviewed three (3) out of three (3) witnesses and all states the clients have not been spoken inappropriately to or bullied. LPA also reviewed ongoing staff training on abuse prevention, client rights, and personnel policies. Based on interviews conducted with facility staff, facility client, witnesses, and record review, there was not enough supportive evidence to concur with the reported allegation.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/03/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20250401082148

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: FIRST CHANCE FOR THE DEVELOPMENTALLY DISABLED	FACILITY NUMBER: 197801689
	VISIT DATE: 04/03/2025

NARRATIVE

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Based on statements and interviews conducted with staff, clients, review of client files and facility file records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview held with the Administrator, Tamaru (Nikki) Francis and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Daniel Konishi
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/03/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/03/2025

LIC9099 (FAS) - (06/04)

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