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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320083
Report Date: 04/26/2022
Date Signed: 04/26/2022 03:27:07 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
and conducted by Evaluator Jade Jordan
COMPLAINT CONTROL NUMBER: 11-AS-20220419114249
FACILITY NAME:DUPE HOME CARE SERVICESFACILITY NUMBER:
198320083
ADMINISTRATOR:MORGAN, DEBORAHFACILITY TYPE:
735
ADDRESS:5879 & 5881 ESTRELLA AVETELEPHONE:
(323) 291-1355
CITY:LOS ANGELESSTATE: CAZIP CODE:
90044
CAPACITY:12CENSUS: 10DATE:
04/26/2022
UNANNOUNCEDTIME BEGAN:
11:07 AM
MET WITH:Donna EkoTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff are inappropriately recording residents
Staff make inappropriate comments towards resident
INVESTIGATION FINDINGS:
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On 04/26/22 Licensing Program Analyst(LPA) Jade Jordan conducted an unannounced visit regarding the allegation(s) above. Upon Arrival LPA met with Administrator Donna Eko, And the purpose of the visit was explained.

Investigation consisted of : Staff Interviews, Client Interviews, Physical tour, and requested pertinent documentation related to the investigation ( Staff Roster, Resident Roster, Admissions Agreement, House Rules, Written Warning)

Regarding Allegation: Staff are inappropriately recording residents
Interviews with Administrator revealed that cameras are in the common areas such as dining room, and hallways. Cameras are used to ensure safety of the clients in care. Administrator stated that Clients are aware of cameras, and that no one is being filmed to be placed on social media.

****************************Continued on 9099C******************************************
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Michael Cava
LICENSING EVALUATOR NAME: Jade Jordan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
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 2
Control Number 11-AS-20220419114249
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: DUPE HOME CARE SERVICES
FACILITY NUMBER: 198320083
VISIT DATE: 04/26/2022
NARRATIVE
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Administrator stated that a client is the one who is recording and posting the clients on social media. Administrator has posted signs through- out the facility to indicate recording of clients in care is not allowed. Interviews with clients in care revealed that C2-C7 that they are aware of the facility’s camera’s in the common areas, and that they do not have an issue with them, and don’t feel that they are being inappropriately recorded. Clients C2-C7 stated there are no cameras in their bedrooms or bathrooms. RP/C1 stated that they are not recording clients with out permission, and not posting on Social media.

LPA observed Cameras in the dining/living room and hallways, front entrance. Lpa did not observe clients being recorded and posted on Social Media.

Based on Interviews, Record Review, and Observation the Department finds that : “Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.”

Regarding Allegation: Staff make inappropriate comments towards resident

RP/C1 stated that staff are making inappropriate comments towards residents. Interviews with C2-C7 Generally stated that they have not had any comments made towards them, that they feel are inappropriate. C2-C7 Generally stated that they feel that staff treat them with respect, and have no issues. C2-C7 have not witnessed inappropriate comments towards other clients in care.

Interviews with Administrator, and Staff 1, and Staff 2 generally stated that they speak respectfully to all clients. Administrator stated, that she tells one particular client, ”that they cannot film other clients in the facility, and when the client gets upset, that she disengages by walking away. She does not go to the same level of emotion as the client.” LPA did not observe any Inappropriate comments towards any client in care.

Therefore; based on Interviews, Record Review, and Observation the department finds that “Although the allegation may have happened or is valid, there is not preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.”

No citations issued during this visit, and exit interview conducted, and a copy of this report was provided.

SUPERVISORS NAME: Michael Cava
LICENSING EVALUATOR NAME: Jade Jordan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2