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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197803718
Report Date: 02/24/2025
Date Signed: 02/24/2025 11:50:55 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
02/18/2025 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250218111711
FACILITY NAME:BEST FRIENDS SOCIAL CENTER INC IIIFACILITY NUMBER:
197803718
ADMINISTRATOR:STEWART, VICTORFACILITY TYPE:
735
ADDRESS:968 E. COLUMBIA AVENUETELEPHONE:
(909) 623-0545
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:6CENSUS: 4DATE:
02/24/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Marcus Fuller and Kristin StewartTIME COMPLETED:
12:05 PM
ALLEGATION(S):
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Facility staff sprayed disinfectant at a client
Facility staff used a garden hose to wash a client
Facility staff did not ensure facility was maintained free of hazards
Facility staff did not ensure facility was maintained free of pests
Facility staff did not ensure facility kitchen was maintained clean
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted a visit to investigate the above allegations. LPA was allowed entry by Marcus Fuller/S-1. LPA discussed the purpose of today’s visit. Kristin Stewart arrived at approximately 9:15 A.M..

During this visit, LPA obtained a copy of the staff and client rosters, interviewed Staff #1 (S-1) through Staff #5 (S-5), interviewed Client #1 (C-1), Client #3 (C-3) and Client #4 (C-4) and conducted a tour. Client #2 (C-2) refused to be interviewed. LPA also called San Gabriel Pomona Regional Center (placement agency) and left a message for a return call.

Refer to LIC 9099C for the continuation of this report.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
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 3
Control Number 28-AS-20250218111711
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: BEST FRIENDS SOCIAL CENTER INC III
FACILITY NUMBER: 197803718
VISIT DATE: 02/24/2025
NARRATIVE
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Facility staff sprayed disinfectant at a client. It has been alleged that a care staff sprayed Lysol at a client. Staff interviews revealed that staff do not spray disinfectants (Lysol) at clients. Interviewed staff indicated they use Lysol to clean the facility surfaces. Interviewed staff indicated they have not witnessed nor received any reports from anyone pertaining to this matter. Interviewed clients indicated that staff do not spray disinfectants (Lysol) at clients. Interviewed clients indicated they have not witnessed nor heard anyone complaining about this matter. Interviews do not corroborate this allegation.

Facility staff used a garden hose to wash a client It has been alleged that a care staff was observed to walk a client through the house naked and spray the client down outside with a garden hose because the client had "soiled” themselves. Staff interviews revealed that staff do not walk clients through the house naked and spray the client down outside with a garden house because the client had “soiled” themselves. Interviewed staff indicated they have not witnessed nor received any reports from anyone pertaining to this matter. Interviewed staff indicated that they are trained in mandated reporting, client rights and zero tolerance. Interviewed clients indicated they have not witnessed nor heard anyone complaining about this matter. Interviews do not corroborate this allegation.

Facility staff did not ensure facility was maintained free of hazards It has been alleged that there are hazards on the patio area outside where the clients sit that pose a risk to the clients such as black widow spiders on the patio furniture and exposed nails on the lattice. Interviewed staff indicated that the patio does not have black widow spiders nor exposed nails. Interviewed staff indicated that they have not received any concerns pertaining to this matter. Interviewed clients indicated they have not seen spiders nor exposed nails. Interviewed clients indicated they have not heard anyone complaining about this matter. Interviews and tour do not corroborate this allegation.

Facility staff did not ensure facility was maintained free of pests It has been alleged that spiders were observed to be inside of the facility. Interviewed staff indicated that there are no spiders inside this facility. Interviewed staff indicated that they have not received any concerns pertaining to this matter. Interviewed clients indicated they have not seen spiders inside this facility. Interviewed clients indicated they have not heard anyone complaining about this matter. Interviews and tour do not corroborate this allegation.

Refer to LIC 9099C for the continuation of this report.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20250218111711
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: BEST FRIENDS SOCIAL CENTER INC III
FACILITY NUMBER: 197803718
VISIT DATE: 02/24/2025
NARRATIVE
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Staff did not ensure facility kitchen was maintained clean It has been alleged that the kitchen is always dirty. Interviewed staff indicated that the kitchen is kept clean at all times. Interviewed staff indicated that staff from each shift clean the kitchen on a daily basis. Interviewed staff indicated that they have not received any concerns pertaining to this matter. Interviewed clients indicated that the kitchen is kept clean. Interviewed clients indicated they have not heard anyone complaining about this matter. Interviews and tour do not corroborate this allegation.

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 conducted. A copy of this report and Appeal Rights were provided to Kristin Stewart.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/24/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3