198201918-12-3-2021-11-AS-MCAA-C9W2LE-20211220162922

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198201918
Report Date: 12/03/2021
Date Signed: 12/03/2021 03:57:11 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 DR #100
MONTERY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/24/2021 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20211124092144

FACILITY NAME:	CHALLENGE ONE ARF		FACILITY NUMBER:	198201918
ADMINISTRATOR:	GIL TEEL		FACILITY TYPE:	735
ADDRESS:	500 W. HILLSDALE STREET		TELEPHONE:	(323) 815-9881
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90302
CAPACITY:	4	CENSUS:	DATE:	12/03/2021
		UNANNOUNCED	TIME BEGAN:	09:36 AM
MET WITH:	Lawrence Phillips & Erica Scales		TIME COMPLETED:	02:59 PM

ALLEGATION(S):

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Staff did not ensure the facility was free from cockroaches.
Facility does not have enough food for residents in care.
Facility is not adequately heated.
Facility is in disrepair.

INVESTIGATION FINDINGS:

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On 12/03/21, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced complaint inspection visit at this facility, LPA was by licensee Lawrence Phillips and explained the purpose of today's visit was to gather information and conduct interviews regarding the allegations mentioned above.

The investigation consisted of the following: LPA interviewed staff #1-#4 (S1-S4), clients #1-#4 (C1-C4). A review of client and staff roster, service receipts, and other pertinent documents relevant to the nature of the complaint.

A tour of the entire facility was conducted/ Evaluation Report continues on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2021

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-20211124092144

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 DR #100
MONTERY PARK, CA 91754

FACILITY NAME: CHALLENGE ONE ARF	FACILITY NUMBER: 198201918
	VISIT DATE: 12/03/2021

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation: Staff did not ensure the facility was free from cockroaches.
The details of this allegation state this facility is roach-infested. The complainant states she has not observed pest activity at this facility nor did she have additional details. The complainant states the information is hearsay and wanted an investigation conducted for the health and safety of clients. During the inspection visit on 12/03/21, the Department did not observe and pest activity. The Department conducted an inspection of the entire facility and did not observe ants, flies, cockroaches, or bed bugs. The Department found the facility to be safe and sanitary. An interview with staff #1-4 (S1-S4) claims this allegation is false. The facility has a contract with a reputable pest control company and has provided receipts to indicate that routine maintenance services are being performed. Interviews with clients #1-#3 (C1-C3) all verified that have not encountered any pest activity at this facility and felt this is a safe and sanitary facility.

Allegation: The facility is in disrepair.
The complainant states she has not observed the facility to be in disrepair and she did not have additional details. The complainant states the information is hearsay and wanted an investigation conducted for the health and safety of clients. The Department conducted a plant inspection of the entire facility and did not find evidence to support the allegation mentioned. The Department tested appliances, fixtures, and plumbing all to be in working condition. The Department observed the interior/exteriors walls and foundation to be in a suitable condition. An interview with staff #1 (S1) claim this allegation is manufactured. (S1) claims he has other licensed facilities and they are all maintained well and in order. (S1) claims he claims he ensure that repairs are done in a timely. Interview with clients #1-#3 (C1-C3) all verified that this facility is never been in disrepair and is very content with their living conditions.

Allegation; Facility is not adequately heated.
The details state the facility is inadequately heated. The complainant reports she has not observed the heating system not to be working properly working. The Department ran a test of the AC/Heating system and it was revealed to be in a working condition. The system was distributed warm temperature throughout the entire facility. An interview with staff #1 (S1) claims they have not had any problems with the AC/Heating system and that the system is only a couple of years old. An interview with clients #1-#4(C1-C3) reports they have never had challenges with the temperature at this facility and claim the temperature has always been comfortable.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2021

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20211124092144

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 DR #100
MONTERY PARK, CA 91754

FACILITY NAME: CHALLENGE ONE ARF	FACILITY NUMBER: 198201918
	VISIT DATE: 12/03/2021

NARRATIVE

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Allegation: Facility does not have enough food for residents in care.

The details of this allegation state the clients lack adequate food. The complainant states the information is hearsay and wanted an investigation conducted for the health and safety of clients. The complainant did not observe the facility did not have sufficient food for the clients in care. The Department conducted an inspection of the food supply and found there is no evidence to support the allegation mentioned above. The Department observed a variety of protein, fruits, and vegetables on hand. There are more than acceptable food supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days were kept on the premises. An interview with staff# 1-#4 (S1-S4) all stated the food provided is good quality, and adequate portion and that groceries are purchased from a grocery chain at least once a week or when needed. (S1) provided current receipts for the Department as evidence. Interviews with clients #1-#3 (C1-C3) all report that they received three (3) meals and snacks daily. The clients all confirmed that the food provided is good quality and sufficient portions The Department interviewed client #4 (C4), with several questions related to the allegations but was not able to hold a conversation due to his disability.

Based on information gathered from observation, interviews, pertinent documents, and photographs, there's no evidence to support the allegations.

The Department did not find sufficient evidence to support the allegations: "Staff did not ensure the facility was free from cockroaches", "Facility does not have enough food for residents in care", "Facility is not adequately heated", and "Facility is in disrepair".

Although the allegations may have happened or are valid, there is not enough preponderance of evidence to prove the alleged allegations are valid did or did not occur. Therefore, the allegations are "unsubstantiated.”

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 12/03/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/03/2021

LIC9099 (FAS) - (06/04)

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