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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197803708
Report Date: 08/11/2023
Date Signed: 08/11/2023 10:20:34 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, 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
04/27/2023 and conducted by Evaluator Kruz Long
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20230427103138
FACILITY NAME:BURTREE RESIDENTIAL FACILITYFACILITY NUMBER:
197803708
ADMINISTRATOR:LAMAUIG, JOYCELYNFACILITY TYPE:
735
ADDRESS:16422 BURTREE STREETTELEPHONE:
(626) 363-4162
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY:6CENSUS: 6DATE:
08/11/2023
UNANNOUNCEDTIME BEGAN:
09:25 AM
MET WITH:Joycelyn Lamauig (Administrator)TIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Resident was physically assaulted by another resident due to lack of staff supervision.
Staff are not providing a safe environment for resident.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kruz Long arrived at the facility for the purpose of delivering complaint investigation findings. Upon arrival, LPA met with Joycelyn Lamauig (Administrator) and explained the purpose of the visit.

During the initial visit conducted on 04/27/23, LPA Tao obtained client roster, staff roster, client#1's files and client#2's file. LPA Tao conducted a facility tour for health and safety check. Clients were observed to be fine. There was no immediate health and safety concerns during the visit.

Regarding allegations: Resident was physically assaulted by another resident due to lack of staff supervision and Staff are not providing a safe environment for resident. Per the details, it was alleged that a client has been assaulted by client’s roommate on more than on occasion and staff have not done anything to assist the client and client is being repeatedly assaulted. The repeated assaults by the client’s roommate are a danger to the clients in care. During one particular incident, the client sustained injuries to hand and mouth and sought medical treatment. Continue to LIC9099C....
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kruz Long
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2023
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 28-AS-20230427103138
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: 08/11/2023
NARRATIVE
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The investigation consisted of interview with Administrator Joycelyn Lamauig (staff #1) and interviews with clients #1 - #5, review of unusual incident dated 04/26/23, review of City of Industry Los Angeles County Sheriff Dept. Report #23-04396-1440 and review of client #1 medical records, the investigation revealed on 04/26/23, the two client #1 & #2 engaged in a verbal argument inside client#1 & #2’s room with no staff present, which resulted in a physical altercation between client #1 and client#2. Administrator Lamauig heard the argument from outside the client room and went to the client#1 &#2’s room investigate. Administrator Lamauig separated the client #1 & #2 and observed client #1 had pepper sprayed client #2 and called 911. Client #1 reported being pushed by Client #2, however client #2 denied pushing client #1. Administrator Lamauig was aware of client #1 and #2 having previous disputes, however, Administrator was not aware of client #1 having possession of pepper spray prior to the 04/26/23 incident (pepper spray was confiscated by law enforcement). Interview with Three (3) of five (5) clients indicated that two (2) clients were aware of an 04/26/23 incident between client #1 & client #2 and all three (3) clients reported that staff are always available to assist the clients as needed. Local Law enforcement arrived at the facility at 4:13PM on 04/26/23 to investigate the incident and interviewed Administrator Lamauig, client #1 and client #2. Law enforcement did not observe any visible injuries or signs of abuse or neglect on client #1 and noted that client #1 did complain of stomach pain. Law enforcement deemed the environment safe for client #1 and closed the investigation as there was no evidence of physical abuse of client #1. Client #1 medical report dated 04/26/23 indicated client #1 was seen in the emergency department due to complaints of assault and a hand injury, X Rays were taken of client #1 left hand which showed no significant abnormality. Client #1 was observed to have a mild abrasion to left hand and given a physician’s order for pain medication and discharged back to the facility on the same day. The investigation did not reveal that the facility staff are not providing adequate care and supervision to client in care and did not reveal any prior incidents where client #1 or clients in care were being assaulted by anyone in the facility.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview held with Joycelyn Lamauig (Administrator) and a copy of the report was provided.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kruz Long
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/11/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2