197803676-5-26-2023-28-AS-LHIS-CSYN8K-20230620101427

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197803676
Report Date: 05/26/2023
Date Signed: 05/26/2023 04:09:37 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/17/2023 and conducted by Evaluator Noemi Galarza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20230517085345

FACILITY NAME:	STRIDE		FACILITY NUMBER:	197803676
ADMINISTRATOR:	HUNT, RENEE DENISE		FACILITY TYPE:	735
ADDRESS:	2059 RAELYN PLACE		TELEPHONE:	(626) 961-5101
CITY:	WEST COVINA	STATE: CA	ZIP CODE:	91792
CAPACITY:	4	CENSUS: 4	DATE:	05/26/2023
		UNANNOUNCED	TIME BEGAN:	12:59 PM
MET WITH:	Alongia "Toni" Jenkins, DSP		TIME COMPLETED:	04:10 PM

ALLEGATION(S):

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Staff demonstrated inappropriate form of punishment towards a client while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Galarza conducted an initial 10-day complaint visit to investigate the above allegation. The purpose of the visit was explained to DSP Alongia "Toni" Jenkins. LPA spoke to Administrator Renee Hunt telephonically.

The investigation consisted of the following: A physical plant tour of the home and file review was conducted. Clients (C2- C5) and staff (S1- S3) were interviewed. Client (C1) no longer resides at the facility. Former client (C1) and family (F1) were interviewed telephonically. Copies of Client (C1's) file documents: Individual Program Plan (IPP), Face Sheet, file notes, client roster, and LIC 500 Personnel Report were obtained. Staff (S1's) file was reviewed; staff training and Zero Tolerance Policy was obtained. No disciplinary actions were observed in the staff file.

***Investigation narrative continues next page.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Noemi Galarza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023

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-20230517085345

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: STRIDE	FACILITY NUMBER: 197803676
	VISIT DATE: 05/26/2023

NARRATIVE

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Allegation: Staff demonstrated inappropriate form of punishment towards a client while in care. It is alleged that staff/Assistant Administrator (S1) sat former client (C1) outside in the backyard patio area when they had a behavior during a meal time. It alleges the incident occurred 4 months prior to former client (C1) moving out of the facility. The client moved out on August 12, 2022. Based on record review and interviews conducted, the aforementioned incident occurred the year prior; September 1, 2021. Per interviews conducted and file notes, former client (C1) was at the dining table eating breakfast with other clients and then began to have an aggressive behavior i.e. hitting other clients with the dining chair and swinging hands towards clients. Staff (S1) stated that it asked C1 to step outside to the backyard patio area in order to de-escalate C1's aggressive behavior. The client stayed outside for approximately 5 minutes. Staff (S1) stated that when clients are actively having behaviors they are trained to separate the clients from one another, and denied punishing C1 in an inappropriate manner. According, to staff (S1) client (C1's) family was notified of the incident. Staff (S2 & S3) denied that allegation. They stated that former client (C1) had frequent aggressive behaviors that required staff to separate them from other clients in order to de-escalate the incident.

Client (C1) was interviewed and acknowledged hitting other clients in the home, and stated that staff (S1) was strict and had a bad temper. Client (C1) stated that on the day of the incident staff (S1) asked them to go outside to take a break and calm down. Family (F1) stated that it did not think asking C1 to go outside to calm down was mistreatment or punishment. The only expressed concern was whether C1 was supervised while outdoors. Clients (C2-C5) were interviewed and confirmed that former client (C1) had frequent aggressive behaviors i.e. hitting and verbal aggression towards them. All clients denied inappropriate treatment or punishment by all facility staff. Most of the clients did not remember details of the alleged incident.

Per review of Individual Program Plan (IPP), the findings indicate that former client (C1) engages in threatening behaviors toward peers without antecedents. There is insufficient evidence to corroborate the allegation.

Based upon record review and interviews conducted the findings indicate that, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Exit interview was conducted & report was issued.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Noemi Galarza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/26/2023

LIC9099 (FAS) - (06/04)

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