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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320147
Report Date: 07/30/2024
Date Signed: 07/30/2024 04:01:31 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
07/22/2024 and conducted by Evaluator Mario Leon
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20240722093822
FACILITY NAME:ICAN CALIFORNIA ABILITIES NETWORK LONG BEACHFACILITY NUMBER:
198320147
ADMINISTRATOR:CLAIRE ROAFACILITY TYPE:
775
ADDRESS:4200E.PACIFIC COAST HWY.STE200TELEPHONE:
(310) 374-8295
CITY:LONG BEACHSTATE: CAZIP CODE:
90804
CAPACITY:18CENSUS: 58DATE:
07/30/2024
UNANNOUNCEDTIME BEGAN:
08:48 AM
MET WITH:Rebecca Flores - Program ManagerTIME COMPLETED:
04:19 PM
ALLEGATION(S):
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Staff have inappropriate interactions with clients.
Staff leave clients unattended.
Staff do not keep client's information confidential.
Staff force clients to lie.
INVESTIGATION FINDINGS:
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On 07/30/2024 Licensing Program Analyst (LPA) Mario Leon conducted an initial, unannounced, complaint visit at the above-mentioned facility. LPA was met by Rebecca Flores, program manager (S1) and the purpose of the visit was explained. S1 and LPA toured the facility.
The investigation consisted of the following:
On 07/30/2024 LPA requested and reviewed facility documents and toured the facility. LPA interviewed five (5) out of an average of AM shift program attendees at fifty-three (53) clients and four (4) out of thirty-seven (37) staff.
The investigation revealed the following:
Regarding the allegation, “Staff have inappropriate interactions with clients.”, it has been alleged that staff touch consumers without consent, staff take money from consumers and that staff force consumers to take off their clothes without their consent.

Report continues, see LIC9099C.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
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 3
Control Number 11-AS-20240722093822
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: ICAN CALIFORNIA ABILITIES NETWORK LONG BEACH
FACILITY NUMBER: 198320147
VISIT DATE: 07/30/2024
NARRATIVE
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Between 09:00AM and 1:00PM, LPA interviewed five (5) clients and four (4) staff. Interviews revealed that all five (5) clients and all four (4) staff have denied the allegation has taken place. Client one (C1) has stated, “thank god that doesn’t happen here.”. Record reviews revealed two (2) out of four (4) interviewed staff have conducted the "Mandated Reporter" training, on January fifteenth, 2024 (01/15/2024). Additionally all four (4) out of four (4) staff have conducted "Reporting Elder and Dependent Adult Abuse in California" training, through RELIAS, on various dates between 2021 and 2024 which is initially conducted during staff's on-boarding.
Based on record reviews and interviews conducted, 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 that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
Regarding the allegation, “Staff leave clients unattended.”, it has been alleged that staff leave clients alone in the van and while clients are outdoors from the facility.
Interviews revealed that all five (5) clients and all four (4) staff have denied the allegation has taken place. Record reviews have shown that the ICAN (California Abilities Network) fleet are equipped with internal and external video footage. The fleet are also equipped with GPS and the video program logs all transit activity. Furthermore, client five (C5) has stated, "The coaches know the rules." and that "they always stick together with us.". Additionally, staff one (S1) noted that, "there is always a 3:1 ratio of clients to coach." Based on record reviews and interviews conducted, 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 that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
Regarding the allegation, “Staff do not keep client's information confidential.”, it has been alleged that staff share medical information with strangers without their consent.
Interviews revealed that all five (5) clients and all four (4) staff have denied the allegation has taken place. Record reviews revealed all four (4) interviewed staff have conducted the "Essentials of HIPAA" training, through RELIAS, on various dates between 2021 and 2024. Furthermore, all face sheets, without clients' pictures, are made available to the fleet team. Each face sheet is coded, which relate to a specific client, in order for the staff to become more familiar with the client's being handled during each day. Additionally, the same face sheet will only be provided to medical professionals during a potential medical emergency. Based on record reviews and interviews conducted, 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 that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.
Report continues, see LIC9099C.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20240722093822
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: ICAN CALIFORNIA ABILITIES NETWORK LONG BEACH
FACILITY NUMBER: 198320147
VISIT DATE: 07/30/2024
NARRATIVE
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Regarding the allegation, “Staff force clients to lie.”, it has been alleged that staff force consumers to lie.
Interviews revealed that all five (5) clients and all four (4) staff have denied the allegation has taken place. Furthermore, client four (C4) has stated, "There's no way that would happen." and that "lies are too heavy. that's it.". Additionally, staff two (S2) has stated, "We try to get them to be open with us, and release those situations from their chest…it’s a sign of growth and understanding." Based on record reviews and interviews conducted, 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 that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated.

An exit interview was held with Rebecca Flores, Program Director (S1), and a copy of this report has been provided.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Mario Leon
LICENSING EVALUATOR SIGNATURE:

DATE: 07/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3