197803679-8-17-2023-34-CR-LSMH-CVST8M-20230918143034

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197803679
Report Date: 08/17/2023
Date Signed: 08/17/2023 10:43:06 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 N. CONTINENTAL BLVD. #290B
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/12/2023 and conducted by Evaluator Zena Phillips

COMPLAINT CONTROL NUMBER: 34-CR-20230512093123

FACILITY NAME:	VISTA DEL MAR CHILD & FAMILY SERVICES-SPECIAL CARE		FACILITY NUMBER:	197803679
ADMINISTRATOR:	AMY JAFFE		FACILITY TYPE:	728
ADDRESS:			TELEPHONE:
CITY:		STATE:	ZIP CODE:
CAPACITY:	24	CENSUS: 15	DATE:	08/17/2023
		UNANNOUNCED	TIME BEGAN:	09:01 AM
MET WITH:	Jermaine Trottie/Youth Development Counselor Supervisor		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Staff did not protect minor from being bullied by other minors in care.
Staff did not provide a safe and comfortable environment for minor in care.

INVESTIGATION FINDINGS:

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On August 17, 2023 @ 9:00 AM Licensing Program Analyst (LPA) Zena Phillips made an unannounced visit to VISTA DEL MAR CHILD & FAMILY SERVICES-SPECIAL CARE and spoke with JermaineTrottie/Youth Development Counselor Supervisor. The purpose of this visit was to deliver findings for the complaint allegations. During the investigation, Confidential interviews were conducted, facility file reviewed, special incident reports and documentary evidence did not substantiate the allegations that: Staff did not protect minor from being bullied by other minors in care. Staff did not provide a safe and comfortable environment for minor in care.

Based on the interviews conducted, documentary evidence, the information gathered did not produce corroborating evidence to support the above said allegations. Staff denied the allegation that: Staff did not provide a safe and comfortable environment for minor in care. It was reported to LPA Phillips that staff do all they can to protect residents. The staff conduct room checks, confiscate contraband, intervene to protect residents from harm, and report incidents that occur as required.
cont on 9099c

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lakescia Smith	TELEPHONE: (424) 301-3025
LICENSING EVALUATOR NAME: Zena Phillips	TELEPHONE: 424-301-3076
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

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 34-CR-20230512093123

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 N. CONTINENTAL BLVD. #290B
EL SEGUNDO, CA 90245

FACILITY NAME: VISTA DEL MAR CHILD & FAMILY SERVICES-SPECIAL CARE	FACILITY NUMBER: 197803679
	VISIT DATE: 08/17/2023

NARRATIVE

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Staff deny that: Staff did not provide a safe and comfortable environment for minor in care. Confidential interviews reveal that residents are assigned a primary staff who focuses on that resident during shift and offer additional support and supervision. Confidential interviews reveal that residents can be moved to a different wing if needed. Staff confirmed residents are not allowed in the pool without lifeguard present to assure residents safety.

Due to inconsistency in statements obtained during the investigation LPA Phillips was unable to determine if the above said allegations occurred, therefore the allegations are determined to be unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that a violation occurred.

Based on the observations made during today’s inspection, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

Exit interview was conducted, and a copy of this report will be emailed to Jermaine Trottie/YDC Supervisor

SUPERVISOR'S NAME: Lakescia Smith	TELEPHONE: (424) 301-3025
LICENSING EVALUATOR NAME: Zena Phillips	TELEPHONE: 424-301-3076
LICENSING EVALUATOR SIGNATURE:	DATE: 08/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2023

LIC9099 (FAS) - (06/04)

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