198201903-10-3-2025-11-AS-SCIS-DUBT5Y-20260522142619

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198201903
Report Date: 10/03/2025
Date Signed: 10/03/2025 03:49:19 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/29/2025 and conducted by Evaluator Troy Watson

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250829145343

FACILITY NAME:	GRACE CARE CORPORATION		FACILITY NUMBER:	198201903
ADMINISTRATOR:	AARON, RUTH		FACILITY TYPE:	735
ADDRESS:	2417 WEST 154TH STREET		TELEPHONE:	(310) 537-2018
CITY:	COMPTON	STATE: CA	ZIP CODE:	90220
CAPACITY:	6	CENSUS: 1	DATE:	10/03/2025
		UNANNOUNCED	TIME BEGAN:	01:31 PM
MET WITH:	CHRISTOPHER AARON - VICE PRESIDENT		TIME COMPLETED:	03:50 PM

ALLEGATION(S):

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Staff does not ensure sharp knives are made inaccessible to clients.
Staff did not prevent client from engaging in physical altercations with other adults.
Staff did not contact emergency services in a timely manner.

INVESTIGATION FINDINGS:

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****This report serves as an amendment to clarify findings. It does not supersede the complaint investigation findings reflected on report created 10/01/2025.**

On 09/30/2025 Licensing Program Analyst (LPA) Troy Watson conducted a subsequent unannounced complaint visit to the facilty listed above and explained the reason for the visit was to investigate the allegations listed above. LPA Watson was granted entry into the facility.

The investigation consisted of the following:

On 09/03/2025 LPA Watson Interviewed Staff #1 - Staff #2.On 09/04/2025 LPA Watson interviewed Staff #3 (S3) and requested obtained and reviewed the following:Personnel Report,Client Roster, Special Incident Report, Behavioral Report, Medical Administration Records (MAR's), Superior Court Documentation Centrally Stored Medication Destruction Record (CSMDR). CONTINUED ON LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

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 11-AS-20250829145343

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: GRACE CARE CORPORATION	FACILITY NUMBER: 198201903
	VISIT DATE: 10/03/2025

NARRATIVE

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The investigation revealed the following:

Allegation: Staff does not ensure sharp knives are made inaccessible to clients.

On 09/03/2025 LPA Watson conducted an interview with Client #2 & Staff #1-Staff #3 (S1-S3) about the allegation listed above. One out of 2 of clients interviewed denied the above allegation. An attempt to interview Client #2 was made but C2 was not present at the time of the interview. On 09/03/2025 LPA Watson interviewed Staff#1-Staff#3 (S1-S3). Out of those interviewed 3 out of 3 Staff denied the above allegation.On 09/30/2025 LPA Watson conducted an interview with Client #1 (C1) about the allegation listed above. Out of those interviewed 1 out of 2 clients denied the allegation. LPA Watson noted during the interview that no sharp knives were kept or located in the facility. Based on the information gathered, interviews conducted, and review of records LPA Watson found no evidence to support the allegation mentioned above. 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.

Allegation: Staff did not prevent clients from engaging in physical altercations with other adults.

On 09/03/2025 LPA Watson conducted an interview with Client #2 (C2) about the allegation listed above. Out of those interviewed 1 out of 2 of the clients interviewed denied the above allegation. An attempt to interview Client #2 was made but C2 was not present at the time of the interview. On 09/03/2025 LPA Watson interviewed Staff#1- Staff#3 (S1-S3). Out of those interviewed 3 out of 3 Staff denied the above allegation.On 09/30/2025 LPA Watson conducted an interview with Client #1 (C1) about the allegation listed above. Out of those interviewed 1 out of 2 clients denied the allegation. Out of those interviewed 2 out of 2 clients denied the allegation. LPA Watson conducted interviews with staff and found that law enforcement was immediately called after each altercation occurred at and outside the facility. Based on the information gathered, interviews conducted, and review of records LPA Watson found no evidence to support the allegation mentioned above. 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.

Allegation: Staff did not contact emergency services in a timely manner.

On 09/03/2025 LPA Watson conducted an interview with Client #2 (2) about the allegation listed above. Out of those interviewed 1 out of 2 clients interviewed denied the above allegation. An attempt to interview Client# 2 was made but C2 was not present at the time of the interview. On 09/03/2025 LPA Watson interviewed Staff#1- Staff#3 (S1-S3). Out of those interviewed 3 out of 3 Staff denied the above allegation. On 09/30/2025 LPA Watson conducted an interview with Client #1 (C1) about the allegation listed above. Out of those interviewed 2 out of 2 clients denied the allegation. LPA Watson requested, obtained and reviewed court documents obtained from the administrator that showed law enforcement was immediately called in a timely manner after each incident. Based on the information gathered, interviews conducted, and review of records LPA Watson found no evidence to support the allegation mentioned above. 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.

An exit interview was conducted with the Christopher Aaron and a copy of this report was given.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2025

LIC9099 (FAS) - (06/04)

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