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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320147
Report Date: 07/19/2024
Date Signed: 07/19/2024 02:03:47 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
07/15/2024 and conducted by Evaluator Lizeth Villegas
COMPLAINT CONTROL NUMBER: 11-AS-20240715121624
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: 15DATE:
07/19/2024
UNANNOUNCEDTIME BEGAN:
08:56 AM
MET WITH:Executive Director Louise ElliotsTIME COMPLETED:
02:25 PM
ALLEGATION(S):
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Staff do not provide a safe environment for clients.
Staff do not ensure facility is maintained in a clean condition.
INVESTIGATION FINDINGS:
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On 07/19/24 Licensing program analyst (LPA) Villegas conducted an initial complaint visit regarding the allegation(s) above. LPA met with Executive Director (ED) Louise Elliots and Program manager (S4)
Rebecca De Fiesta Flores, as the purpose of the visit was explained.

The investigation consisted of the following: On 07/19/24 LPA Villegas obtained a copy of the following documents: staff and client rosters, cleaning schedule for June-July 2024, and a copy of invoices for May-July 2024. On 07/19/24 LPA Villegas conducted interviews with client #1-8 (C1-C8), ED, and staff #1-4 (S1-S4). LPA conducted a tour of both the inside and outside of the facility.

The investigation revealed the following:
Allegation: Staff do not provide a safe environment for clients.
It is being alleged that needles have been found outside the facility and staff do not clean them up.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2024
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 2
Control Number 11-AS-20240715121624
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: 07/19/2024
NARRATIVE
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On 07/19/24 LPA Villegas interviewed ED regarding the allegation above, ED denied the allegation above and stated sharps nor needles have been observed on the facility premises. Per ED the day program shares a parking lot with an urgent care, orthodontist, a tattoo shop, a gym, and a storage unit building. ED also reported there is some construction taking place on an empty building located on the left hand side of the day program. On 07/19/24 LPA interviewed S1-S4 regarding the allegation above, 4 of 4 staff interviewed denied the allegation above and reported sharps nor needles have been observed on facility grounds. On 07/19/24 LPA interviewed C1-C8 regarding the allegation above, 8 of 8 clients interviewed denied the allegation above. On 07/19/24 LPA and S4 conducted a tour of both the inside and outside of the facility, LPA did not observe any sharps, needles nor hazards on facility property accessible to clients. LPA also observed and confirmed that the Day Program shares a parking lot with an Exer urgent care, orthodontist office, a gym, and a tattoo shop. During the tour of the outside of the facility LPA observed construction taking place on a building to the left of the day program.

Allegation: Staff do not ensure facility is maintained in a clean condition
It is being alleged that the facility is dirty and unsafe for the clients.
On 07/19/24 LPA Villegas interviewed ED regarding the allegation above, ED denied the allegation above. Per ED, there is a daily cleaning schedule that is posted and is also accessible to staff on an app called "SLACK" that is used by the day program which list the cleaning task for each staff to perform at the end of their shift. ED also reported that an outside cleaning company (JC Maids) conducts a deep cleaning once a week before the clients arrive to the day program. On 07/19/24 LPA interviewed S1-S4 regarding the allegation above, 4 of 4 staff interviewed denied the allegation above and reported staff are assigned a cleaning task daily and reported the day program is deep cleaned once a week. 07/19/24 LPA interviewed C1-C8 regarding the allegation above, 8 of 8 clients interviewed denied the allegation above and reported that the staff cleans the facility. On 07/19/24 LPA and S4 conducted a tour of both the inside and outside of the facility, LPA observed every room, common areas, walkways and exits to be clean and free of debris/hazards. LPA reviewed invoices from JC Maids and confirmed the day program is being deep cleaned once a week.

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

Exit interview conducted with Rebecca De Fiesta Flores, and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2