198320023-11-30-2023-11-AS-SCIS-CYGVCK-20231213151916

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320023
Report Date: 11/30/2023
Date Signed: 11/30/2023 03:19:22 PM

Unsubstantiated

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
11/22/2023 and conducted by Evaluator Lourdes Montoya

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20231122113356

FACILITY NAME:	FRIENDS UNITED LLC		FACILITY NUMBER:	198320023
ADMINISTRATOR:	SUDECK, ELIZABETH		FACILITY TYPE:	735
ADDRESS:	11725 S TARRON AVE		TELEPHONE:	(310) 980-0673
CITY:	HAWTHORNE	STATE: CA	ZIP CODE:	90250
CAPACITY:	4	CENSUS: 4	DATE:	11/30/2023
		UNANNOUNCED	TIME BEGAN:	11:45 AM
MET WITH:	ELIZABETH SUDECK		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff do not have records of resident's P&I funds.

INVESTIGATION FINDINGS:

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On 11/30/2023 at 11:45 AM, Licensing program analyst (LPA) Lourdes Montoya conducted an initial 10-day complaint visit to this facility to investigate the allegation mentioned above. LPA met with House Manager (HM) Maria Del Rosario Colin (MD Colin) and LPA explained the purpose of today’s visit. Another House Manager Maria Elena Colin arrived around 12:15 PM and joined the visit. Administrator Elizabeth Sudeck arrived later and joined the visit.

The investigation consisted of the following: LPA Montoya toured the facility with HM MD Colin. LPA obtained copies of the following: Staff roster and resident roster. LPA obtained and reviewed four clients’ (C1-C4) P&I records and Physician’s Reports. LPA interviewed two staff (S1-S2) and three clients (C1-C3). One client (C4) was at Day Program during the visit and LPA was unable to conduct interview with C4.

REPORT CONTINUED IN LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Lourdes Montoya
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

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-20231122113356

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: FRIENDS UNITED LLC	FACILITY NUMBER: 198320023
	VISIT DATE: 11/30/2023

NARRATIVE

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The investigation revealed the following:

Allegation: Staff do not have records of resident's P&I funds.

According to SOC 341, there are no P&I cash funds and records onsite. The clients’ P&I monies are consolidated in one bank account. Additionally, per interview with the Reporting Party, there are no receipts for clients’ expenditures.

On 11/30/2023 from 12:15 PM until 2:45 PM, LPA reviewed C1-C4’s Physician’s Reports. Based on LPA’s records review, all four clients are unable to manage own cash resources. The facility manages all four clients’ cash resources. Based on LPA’s review, the facility maintains C1-C4’s P&I records. LPA reviewed all four clients’ P&I records from January 2022 through December 2022 and January 2023 through November 2023. LPA observed all four clients’ ledger accounting for income, disbursements, and balance as complete and accurate. There is one separate bank account for all four clients under the facility’s name and the account title indicates only for client cash resources. LPA observed C1 signs the account ledger but C2-C4 don’t sign their account ledgers. Based on LPA’s interviews with S1 and S2 at around 1:55 PM, C1 can write and can communicate verbally. C1 can sign the ledger accounting for income, disbursements, and balance, however, three clients (C2-C4) cannot sign the ledger accounting for income, disbursements, and balance due to their medical condition. None of the four clients is conserved. Based on LPA's interview, C1 is verbal and can distinguish the value of dollar bills. C2 and C3 are non-verbal and cannot maintain a conservation.

Based on LPA’s observation, interviews conducted, and records review, the preponderance of evidence standard has not been met. 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.

An exit interview was conducted, and a copy of the report was given to Administrator Elizabeth Sudeck.

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Lourdes Montoya
LICENSING EVALUATOR SIGNATURE:	DATE: 11/30/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2023

LIC9099 (FAS) - (06/04)

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