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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198203348
Report Date: 08/07/2024
Date Signed: 08/07/2024 09:47:49 AM

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
06/07/2024 and conducted by Evaluator Jose Calderon
COMPLAINT CONTROL NUMBER: 11-AS-20240607082134
FACILITY NAME:SOCIAL VOCATIONAL SERVICES, INC.FACILITY NUMBER:
198203348
ADMINISTRATOR:DANIEL MORALESFACILITY TYPE:
775
ADDRESS:24710 NARBONNE AVENUETELEPHONE:
(310) 257-0464
CITY:LOMITASTATE: CAZIP CODE:
90717
CAPACITY:18CENSUS: 16DATE:
08/07/2024
UNANNOUNCEDTIME BEGAN:
09:26 AM
MET WITH:PROGRAM DIRECTOR BRENDA PERALTATIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Staff pushed client at a day program.
Staff made derogatory comment about client weight.
INVESTIGATION FINDINGS:
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On 08/07/2024 Licensing Program Analyst (LPA) Jose Calderon conducted an unannounced visit to Social Vocational Services Inc and was greeted by Director Jose Sanchez S1. LPA Calderon explained the purpose of this visit is to deliver the findings pertaining to the above-mentioned allegations.

The investigation consisted of the following: LPA Calderon interviewed staff S1-S3 and interview clients C1-C8. On 06/10/2024 LPA Calderon obtained and reviewed the following: Individual Service Plan (ISP) (date 01/12/2024), Incident report (date 05/03/2024), Harbor Regional Center investigation (date 05/22/2024), Admission agreement (date 01/21/2021) for C1, training records for S2-S3 (date 05/22/2024 and 05/28/2024). Reviewed Torrance Memorial Hospital records (date 05/08/2024)

The investigation revealed the following:
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
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 4
Control Number 11-AS-20240607082134
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: SOCIAL VOCATIONAL SERVICES, INC.
FACILITY NUMBER: 198203348
VISIT DATE: 08/07/2024
NARRATIVE
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Regarding Allegation #1: Staff pushed C1 at a day program: It is being alleged that staff pushed C1 at the park on 05/03/2024. Toured the facility and LPA noted staff and client interactions that met the needs of the client. Reviewed Harbor Regional Center investigation (date 05/22/2024) which indicates “regarding the claims in the SIR that C1 was forced to the ground by S2 from this investigation it appears substantiated that an interaction occurred between C1 and S2 that resulted in C1 falling to the ground”. Reviewed staff training in-service (date 05/28/2024): Topic appropriate methods to interacting with participants. Reviewed Torrance Memorial records (date 05/08/2024) which indicate that C1 indicated to doctor that C1 was tackled and landed on right hip. X-rays were done and no abnormality or fracture was noted.

The interviews indicate: S1 indicates that S1 was not informed that C1 was injured in the park. S1 indicates that S1 was informed that C1 tripped and fell to the ground and injured C1 right hip. C1 indicates that S2 was playing around with C1 who stepped in a hold and fell to the ground. S2 indicates that S2 was picking up baseballs and C1 was grabbing the baseballs. S2 indicates that C1 step into a hole and lost C1 balance and fell to the ground. S2 indicates that C1 was taken back to the day program and given an ice bag for C1 pain. S2 indicates that S2 informed S1 and an incident report was generated. S2 indicates that S2 was given training on how to deal with clients and S2 indicates that if S2 would not have played around with C1 would have not been injured. C1 indicates that C1 was at the park and S2 picked up C1 and swung C1 around and C1 fell to the ground and injured C1 right hip. 7 out of 8 clients indicate that staff has never pushed them or injured their person.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20240607082134
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: SOCIAL VOCATIONAL SERVICES, INC.
FACILITY NUMBER: 198203348
VISIT DATE: 08/07/2024
NARRATIVE
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Regarding Allegation #2: Staff made derogatory comments about client weight:

It is being alleged that staff made derogatory comments about C1 weight. LPA toured the facility and noted staff interacting with clients and taking care of client’s needs. Reviewed Harbor Regional Center (HRC) report (date 05/22/2024) which indicates: “At the conclusion of this investigation the claim in the SIR regarding a comment being made regarding how C1 weight was a factor in the fall, which upset C1 is substantiated. Both C1 and C3 acknowledge that a conversation was had between the two at the day program after the fall where C1 weight was addressed. Reviewed staff training in-service (date 05/28/2024): Topic appropriate methods to interacting with participants.

The interviews indicate: S1 indicates that S1 was not aware of S3 making any comments about C1 weight. S1 indicates that staff are trained on how to interact with clients in their care. S1 indicates that S3 did make comments about C1 weight. S3 indicates that S3 did make a comment to C1 stating “we must be careful when playing around as we are bigger guys”. S3 indicates that S3 was joking around and did not want S3 joke to C1 seen as a derogatory comment. C1 indicates that S3 told C1 “that if C1 was not so fat C1 would have not been injured”. C1 indicates that staff made up the story that C1 fell after putting C1 foot in a hole. 7 out of 8 clients indicate that no staff have made derogatory comments about their weight.

Based on LPA Calderon observations and interviews which were conducted and the records that were reviewed, the preponderance of evidence standard has been met, therefore the above allegation “staff pushed client at a day program” “staff made derogatory comment about client weigh” is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 are being cited on the attached LIC 9099D.


An exit interview was conducted, and a copy of the Complaint Report and Appeal Rights were provided to the Director Jose Sanchez (S1).
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 11-AS-20240607082134
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: SOCIAL VOCATIONAL SERVICES, INC.
FACILITY NUMBER: 198203348
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/07/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/23/2024
Section Cited
CCR
82072(a)(1)(2)(3)
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82072 Personal Rights (a) Each client shall have personal rights which include... (1) To be accorded dignity in his/her personal relationships…(2) To be accorded safe, healthful, and comfortable accommodations... (3) To be free from corporal or unusual punishment, infliction of pain… functioning. This requirement was not met as evidenced by
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Administrator will provide additional training to staff on how safeguard and interact with clients in care. Administrator will provide proof of training to LPA Caldron by the POC date of 08/23/2024.
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Based records review and interviews conducted the licensee failed to ensure that staff safeguard clients in care. This poses a safety risk to clients in care.
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Type B
08/23/2024
Section Cited
CCR
82065(f)(3)
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Personnel Requirements (f) All personnel shall be given on-the-job training or shall have related experience providing knowledge of and skill in the following areas, as appropriate to the job assigned and as evidenced by safe and effective job performance. (3) Provision of client care and supervision, including communication. This requirement was not met as evidenced by
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Administrator will provide additional training to staff on how safeguard and interact with clients in care. Administrator will provide proof of training to LPA Caldron by the POC date of 08/23/2024.

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Based records review and interviews conducted the licensee failed to ensure that staff were given training on how to interact with clients in care. This poses a 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: Jose Calderon
LICENSING EVALUATOR SIGNATURE:

DATE: 08/07/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/07/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4