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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198203062
Report Date: 11/16/2023
Date Signed: 03/20/2024 02:34:38 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/17/2023 and conducted by Evaluator Melissa Spaeth
COMPLAINT CONTROL NUMBER: 31-AS-20231017091249
FACILITY NAME:FRANK CALA HOUSEFACILITY NUMBER:
198203062
ADMINISTRATOR:RAFAEL LOPEZFACILITY TYPE:
736
ADDRESS:8500 HANNA STREETTELEPHONE:
(818) 347-1777
CITY:WEST HILLSSTATE: CAZIP CODE:
91304
CAPACITY:6CENSUS: 6DATE:
11/16/2023
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Savvoy ToneyTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Facility illegally evicted resident.
INVESTIGATION FINDINGS:
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This is an amendment to correct clerical errors observed in the initial report. The findings remain the same.

On 11/16/2023 Licensing Program Analyst (LPA) Melissa Spaeth conducted a subsequent complaint investigation at the above facility to address the above allegation(s). LPA Spaeth was met by NAME. LPA explained the purpose of this visit was to deliver findings for this complaint.

The investigation consisted of the following. On 10/18/2023, LPA Spaeth initiated a complaint investigation. LPA toured the physical plant and requested records. The following records were requested: 1) staff roster, 2) resident roster, 3) resident’s needs and service plan 4) program end notice and 5) resident’s admissions agreement. LPA received documentation during the visit and also interviewed 4 residents out of 6 in total and 5 out of 7 staff in total.

Cont. on 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
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 31-AS-20231017091249
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: FRANK CALA HOUSE
FACILITY NUMBER: 198203062
VISIT DATE: 11/16/2023
NARRATIVE
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The investigation revealed the following: Regarding the allegation,” Facility illegally evicted resident.”. It’s being alleged that C1 is being evicted in February of 2024 for poor behavior due to complaining about the staff. LPA Spaeth interviewed 6 out of the 7 staff members. 2 staff interviewed state the client exhibits poor behavior. 4 staff denied C1 exhibits poor behavior. 6 staff members confirmed C1 has verbalized they would like to move to another facility. 3 out of the 4 clients state C1 has not exhibited poor behavior, has not been observed complaining about the staff’s service, or stated they want to move out of the facility. One resident declined to speak to LPA Spaeth.

A program end notice was presented to C1 on 10/16/2023 which states the facility is not the best fit for the client’s needs and that C1's needs require a different environment. The Appraisal Needs and Services Plans dated 7/19/2023 was reviewed by LPA Spaeth. LPA Spaeth observed that the plan did not state any behavioral concerns by staff and stated the client demonstrated improvements regarding the client’s emotions. Therefore, the client’s needs and services plan does not support the reasons for the program to be ended at the facility.

Based on the interviews with staff, residents and a record review, the above allegation is found to be Substantiated. California Code of Regulations, Title 22 Division (6) and Chapter (8) are being cited on the attached LIC9099-D.

An exit interview was conducted, and a hard copy was provided with appeal rights.
SUPERVISORS NAME: Troy Agard
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20231017091249
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS S.ASC, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: FRANK CALA HOUSE
FACILITY NUMBER: 198203062
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/16/2023
Section Cited
CCR
87868.1(b)(1)
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87868.1 Resident Eviction Procedures (b) The licensee shall evict the resident.. of written notice under the following.. (1) Modifications to the resident's individual services plan specified in Section 87896 indicate that the resident's needs no longer be met by the facility:
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Facility staff will continue to assist client with locating a new housing facility.
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This is evidence by: The facility failed to indicate within the client's Individual Services plan that the resident's needs can no longer be met by the facility.
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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: Troy Agard
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE:

DATE: 11/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/16/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3