198320044-9-23-2023-11-AS-MVAO-CW3T8S-20230927143048

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320044
Report Date: 09/23/2023
Date Signed: 09/23/2023 02:24:51 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
08/22/2022 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20220822081650

FACILITY NAME:	ALTERNATIVE RESIDENTIAL CARE		FACILITY NUMBER:	198320044
ADMINISTRATOR:	MCNAMARA, MINDY		FACILITY TYPE:	740
ADDRESS:	2653 W 225TH STREET		TELEPHONE:	(310) 325-1735
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90505
CAPACITY:	6	CENSUS: 6	DATE:	09/23/2023
		UNANNOUNCED	TIME BEGAN:	11:32 AM
MET WITH:	Minda McNamara		TIME COMPLETED:	12:47 PM

ALLEGATION(S):

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Facility staff physically abused residents resulting in bruising.
Facility staff is using illegal drugs on the premises.

INVESTIGATION FINDINGS:

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On 09/23/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted a subsequent unannounced visit to render investigation findings for the above allegations. LPA was greeted by Administrator Minda McNamara, and LPA explained the purpose of this visit.

The investigation consisted of the following: On 8/23/2022, Licensing Program Analyst (LPA) Jeremiah Randle conducted a visit. LPA reviewed copies of staff/resident rosters, SIR reports, physician's reports, appraisals/needs and services plans, and service records of Residents in care and other pertinent documents associated with this complaint. On 8/23/2022, the complaint was referred to the Community Care Licensing Investigations Branch and assigned to Investigator Dennis Douglas. As a part of the investigation, Investigator Douglas interviewed the Administrator (A1), Staff #1-3 (S1-S3), Resident #1 (R1), and Witness #1-4 (W1-W4).

(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ernand Dabuet	TELEPHONE: (323) 629-5526
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2023

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-20220822081650

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: ALTERNATIVE RESIDENTIAL CARE	FACILITY NUMBER: 198320044
	VISIT DATE: 09/23/2023

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation #1: Facility staff physically abused residents resulting in bruising
Allegation #2: Facility staff is using illegal drugs on the premises.

During the investigation, IB investigator Douglas conducted interviews with the Administrator (A1), Staff #1-3, Resident #1 and Witness #1-4. (A1) and (3) of (3) staff interviewed all denied any staff using illegal drugs or physically abusing residents in care. All staff interviewed denied witnessing any staff physically abusing residents and stated they had not heard of or have a suspicion of abuse by any staff. IB Investigator Douglas attempted to interview residents in care regarding the allegations but was only successful in interviewing (R1) who was able to verbally answer questions. (R1) denied the allegations. IB investigator interviewed Witnesses #1-4 and (4) of (4) witnesses interviewed all disclosed they were unaware of any illegal drug use by Staff #1 and denied any concerns of physical abuse. The facility was inspected by investigators from the Community Care Licensing (CCL) IB (Investigation Branch), and there were no signs of illegal drugs use on the premises. Therefore, based on all the information obtained during the investigation, the allegations are Unsubstantiated.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur as a result, the allegations are unsubstantiated.

A copy of this report and an exit interview were conducted with administrator, Minda McNamara.

SUPERVISOR'S NAME: Janae Hammond	TELEPHONE: (323) 981-3328
LICENSING EVALUATOR NAME: Ernand Dabuet	TELEPHONE: (323) 629-5526
LICENSING EVALUATOR SIGNATURE:	DATE: 09/23/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2023

LIC9099 (FAS) - (06/04)

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