197803708-8-17-2022-28-AS-MVAO-CKBNZW-20221018105458

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197803708
Report Date: 08/17/2022
Date Signed: 08/17/2022 03:00:49 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
08/11/2022 and conducted by Evaluator Alberto Lopez

COMPLAINT CONTROL NUMBER: 28-AS-20220811132551

FACILITY NAME:	BURTREE RESIDENTIAL FACILITY		FACILITY NUMBER:	197803708
ADMINISTRATOR:	LAMAUIG, JOYCELYN		FACILITY TYPE:	735
ADDRESS:	16422 BURTREE STREET		TELEPHONE:	(626) 363-4162
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91744
CAPACITY:	6	CENSUS: 6	DATE:	08/17/2022
		UNANNOUNCED	TIME BEGAN:	09:56 AM
MET WITH:	Joycelyn LaMaug, Administrator		TIME COMPLETED:	03:16 PM

ALLEGATION(S):

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Staff speaks inappropriately to client
Facility does not allow client to control his money
Facility is not providing meals to client
Facility is not providing basic laundry services to clients

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alberto Lopez made an unannounced visit to the facility and was greeted by Administrator Joycelyn Lamauig and explained the reason for the visit.
The investigation consisted of tour of facility, interviews with Administrator and 6 clients (C1-C6) and review of facility menu and food supply.

Regarding Allegation: Staff speaks inappropriately to client: It is alleged that administrator speaks inappropriately to clients in care. Administrator stated she never speaks to clients inappropriately, 5 of 6 clients stated administrator never is unappropriate when she speaks to them. Based on LPA's record review, observations and interviews, investigation revealed, 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.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Stefanie Coronel
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022

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-20220811132551

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: BURTREE RESIDENTIAL FACILITY	FACILITY NUMBER: 197803708
	VISIT DATE: 08/17/2022

NARRATIVE

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Regarding Allegation: Facility does not allow client to control his money. It is alleged that administrator does not allow C1 access to his money. Administrator stated that C1 controls his own money and pays the rent in cash. C1 stated he controls his own money. 4/6 clients interviewed stated that they control their own PI monies and that it is given to them every month. Based on LPA's record review, observations and interviews, investigation revealed, 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.

Regarding Allegation: Facility is not providing meals to client. Administrator stated there is plenty of food for residents. C1 stated he can only eat spicy noodles, sausage, bacon and lettuce. There is not special dietary order in clients file that specifies special diet. 5/6 residents stated that get 3 meals and snacks every day. Based on LPA's record review, observations and interviews, investigation revealed, 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.

Regarding Allegation: Facility is not providing basic laundry services to clients. It is alleged that facility does not do laundry for residents and that residents are not allowed to do their own. Administrator stated that she does the laundry for all the residents once a week and if residents want to do their own laundry, it is allowed, 6/6 residents stated that facility does their laundry once per week. Based on LPA's record review, observations and interviews, investigation revealed, 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.

NAME OF LICENSING PROGRAM MANAGER: Stefanie Coronel
NAME OF LICENSING PROGRAM ANALYST: Alberto Lopez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/17/2022

LIC9099 (FAS) - (06/04)

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