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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198202119
Report Date: 11/20/2025
Date Signed: 11/20/2025 05:11:40 PM

Substantiated


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
11/13/2025 and conducted by Evaluator Regina Cloyd
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20251113081504
FACILITY NAME:RICHARDS BOARD & CAREFACILITY NUMBER:
198202119
ADMINISTRATOR:CHARMAINE RICHARDSFACILITY TYPE:
735
ADDRESS:10522 SO. VAN NESS AVETELEPHONE:
(323) 779-8258
CITY:LOS ANGELESSTATE: CAZIP CODE:
90047
CAPACITY:10CENSUS: 9DATE:
11/20/2025
UNANNOUNCEDTIME BEGAN:
09:54 AM
MET WITH:Charmaine RichardsTIME COMPLETED:
05:25 PM
ALLEGATION(S):
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Staff did not report incident to appropriate parties.
INVESTIGATION FINDINGS:
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On 11/20/2025, Licensing Program Analyst (LPA) Regina Cloyd conducted an initial visit on to gather information regarding the above allegation. LPA met with Staff and Administrator Charmaine Richards and the purpose of the visit was explained.

Investigation consisted of the following: On 11/20/2025, LPA obtained Register of Clients and Client #1’s record, reviewed Client #2’s binder, and interviewed the Administrator, Staff #2 and Clients #1 – #5. Note: LPA left a voicemail for Witnesses #1 - #2.

Record review of unusual incident report (signed 11/10/25) revealed Staff received a call on 11/06/25 11:06 PM about the physical altercation between C1 and C2. It is also revealed that the Administrator learned about the bruise from C1’s family member because the client never reported the incident to the staff or administrator. Upon learning about the bruise, the Administrator completed an incident report, took a photo of C1 and reported the incident to C1’s Case Manager. Continue to LIC9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
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 5
Control Number 11-AS-20251113081504
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: RICHARDS BOARD & CARE
FACILITY NUMBER: 198202119
VISIT DATE: 11/20/2025
NARRATIVE
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Interview with Staff #2 indicated the incident was reported to the Administrator and the Administrator reported it to Client #1’s case workers. The Administrator indicated that an unusual incident report was not submitted to Licensing.

Regarding the allegation, “Staff did not report incident to appropriate parties,” based on record review and interviews, the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.

An exit interview was conducted, plans of correction developed, and a copy of this report with appeal rights were provided to the Administrator Charmaine Richards.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 11-AS-20251113081504
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: RICHARDS BOARD & CARE
FACILITY NUMBER: 198202119
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/20/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
12/09/2025
Section Cited
CCR
80061(d)
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(d) Any suspected physical abuse that does not result in serious bodily injury of an elder or dependent adult shall be reported to... the corresponding licensing agency... within twenty-four (24) hours as required by Welfare and Institutions Code Section 15630(b)(1).
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The Licensee will fax or email future incident reports to 424-544-1016 or cclascpelsegundoro@dss.ca.gov within the required reporting time. The Licensee provided a copy of the incident report to LPA Cloyd during the investigation.
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This requirement was not met as evidence by:
Based on interview, the Licensee did not submit an incident report for a physical altercation between C1 and C2 which resulted in C1 having a black bruise under C1's eye. This posed a potential safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Regina Cloyd
LICENSING EVALUATOR SIGNATURE:

DATE: 11/20/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/20/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5