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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320223
Report Date: 10/23/2024
Date Signed: 01/24/2025 10:28:42 AM

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
10/14/2024 and conducted by Evaluator Deborah Lee
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20241014210839
FACILITY NAME:EMILY'S HOMECAREFACILITY NUMBER:
198320223
ADMINISTRATOR:FIGUEROA, PATRICKFACILITY TYPE:
735
ADDRESS:603 W. 235TH STTELEPHONE:
(310) 938-6193
CITY:CARSONSTATE: CAZIP CODE:
90745
CAPACITY:4CENSUS: 4DATE:
10/23/2024
UNANNOUNCEDTIME BEGAN:
08:57 AM
MET WITH:Patrick Figueroa, Administrator TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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9
Staff do not prevent the clients from being beaten.
INVESTIGATION FINDINGS:
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13
** This report serves as an amendment to clarify findings. It does not supersede the complaint investigation findings reflected on report created 10/23/2024**
On October 23, 2024, Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced complaint visit to address the allegation listed above. LPA Lee was greeted by staff Rhoda Nombre and granted access to the facility. Subsequently, Noel Figueroa and Novyna Figueroa (back up administrators) assisted with the visit. Administrator Patrick Figueroa arrived near the conclusion of visit.

The investigation consisted of the following: On October 23, 2024, LPA Lee conducted a tour of facility both inside and out, LPA Lee and obtained copies of the following: LIC 500 dated September 9,2024, Register of Clients/Residence dated October 9, 2024, Client1-Client 4's (C1-C4) Individual Program Plan (IPP) from Placement agency, daily shift notes and Behaviorist sign-in sheet dated 10/8/24-10/22/24.

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Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024
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-20241014210839
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: EMILY'S HOMECARE
FACILITY NUMBER: 198320223
VISIT DATE: 10/23/2024
NARRATIVE
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Allegation: Staff do not prevent the clients from being beaten.

LPA Lee reviewed client files (C1-C4) and staff files (S1-S4); 4 out of 4 staff files reviewed contained Special Incident Report training (Conducted on October 10, 2024, with client Placement Agency). Additionally, a signed acknowledgement of Suspected Elder abuse (Soc 341A) was observed to be in each staff file.

During the visit, LPA Lee observed clients C1-C4 and found clients were dressed in clean clothing, and hygiene was tended to. LPA found the facility to be clean and in sanitary condition. During observations of the clients (C1-C4), LPA did not observe indications of abuse. LPA attempted interviews with C1-C4; however, clients were unable answer verbally or with gestures related to questions asked. LPA reviewed C1-C4 service records and found no history of abuse reports.

LPA conducted interviews with staff 1-4 (S1-S4). Based on the questions asked, 4of 4 staff replied that they have never hit a client nor have witnessed anyone else hitting a client. Additionally, 4 of 4 staff replied that they would report abuse if they witnessed it.

LPA conducted interview with Witness 1 (W1) from (C1-C4's) Placement Agency. W1 revealed that there have been no allegations of abuse reported to them.

Regarding the allegation "Staff do not prevent the clients from being beaten--" 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.

No deficiencies were cited during this visit Exit interview was conducted; A copy of this report was provided to the Licensee/Administrator Patrick Figueroa

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SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 10/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024
LIC9099 (FAS) - (06/04)
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