198202967-10-17-2022-11-AS-JHAD-CKN2NH-20221028173245

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198202967
Report Date: 10/17/2022
Date Signed: 10/17/2022 01:33:34 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/13/2022 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20221013105455

FACILITY NAME:	ANAND CARE CENTER III		FACILITY NUMBER:	198202967
ADMINISTRATOR:	MEHUL PATEL		FACILITY TYPE:	735
ADDRESS:	11143 SOUTH PRARIE AVE		TELEPHONE:	(310) 419-1225
CITY:	INGLEWOOD	STATE: CA	ZIP CODE:	90303
CAPACITY:	20	CENSUS: 10	DATE:	10/17/2022
		UNANNOUNCED	TIME BEGAN:	09:13 AM
MET WITH:	Usha Patel & Mehul Patel		TIME COMPLETED:	12:59 PM

ALLEGATION(S):

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Facility phone is in disrepair.

INVESTIGATION FINDINGS:

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On 10/17/22 Licensing Program Analyst (LPA) Ernand Dabuet conducted an initial unannounced complaint visit at this facility. LPA Dabuet was greeted by licensee Usha Patel. Patel contacted administrator Mehul Patel by telephone who later join the visit. LPA Dabuet met with the licensee and administrator and explained the purpose of today's visit.

The investigation included the following; A review of the Client roster, Staff roster and phone bill. Interviews with licensee and administrator staff #1-#2 (S1-S2). Interviews with (7) out of (10) clients #1-#7 (C1-C7), and witness #1 (W1). A plant inspection of the facility was conducted.

INVESTIGATION REVEALED THE FOLLOWING:The details of the complaint state the facility phone is in disrepair. The complainant states the facility's phone has not been working for the last several weeks and is concerned for clients not having access to a phone. (Evaluation Report continues on LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022

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-20221013105455

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: ANAND CARE CENTER III	FACILITY NUMBER: 198202967
	VISIT DATE: 10/17/2022

NARRATIVE

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Investigation Continues:

The Department interviewed licensee staff #1 (S1) who stated the facility landline telephone and facsimile lines were down from 09/22/22 through 10/08/22. (S1) stated the lines were non-operable due to mechanical power failure caused by a fire in a neighboring street that affected the phone line systems. An interview with administrator staff #2 (S2) stated that the facility had no control over the phone lines not being in service. (S2) made several reports with AT&T telephone company, however, they were unable to provide him a time for when the services will be back in operating condition. (S1-S2) stated that the facility has a pay phone available for clients as an alternative. Pacific Telephone, a private company, owns the pay phone and it was working between 09/22/22 and 10/08/22.

The Department contacted AT&T telephone company and verified with witness #1 (W1) that the telephone landline account is in good payment standing and that services have not been interrupted. The account shows service calls for repairs, according to AT&T on record.

Interviews conducted with clients #1- #5 (C1-C5) claimed they all have their cellular phones and did not need to use the facility phone or the pay phone offered by the facility. (C1-C5) did not know whether the landlines at the facility were operable or not. Clients #6-#7 (C6-C7) refused to be interviewed or provide any information. The Department inspected landline phones on 10/17/22, and found the office and kitchen phones in working condition. The facsimile line is operable. A test was conducted on the pay phone, and it was found to be functional.

Based on the information gathered, an inspection of the facility, observation, analysis of records, and interviews conducted, the Department found no evidence to support the allegation mentioned in this complaint.

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.

No deficiencies were cited during this visit.

An exit interview was conducted with Mehul Patel, and a copy of the report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2022

LIC9099 (FAS) - (06/04)

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