198320223-11-4-2024-11-AS-JHAD-DARTDX-20241106133900

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320223
Report Date: 11/04/2024
Date Signed: 11/04/2024 04:03:27 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
10/30/2024 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20241030170214

FACILITY NAME:	EMILY'S HOMECARE		FACILITY NUMBER:	198320223
ADMINISTRATOR:	FIGUEROA, PATRICK		FACILITY TYPE:	735
ADDRESS:	603 W. 235TH ST		TELEPHONE:	(310) 938-6193
CITY:	CARSON	STATE: CA	ZIP CODE:	90745
CAPACITY:	4	CENSUS: 4	DATE:	11/04/2024
		UNANNOUNCED	TIME BEGAN:	09:22 AM
MET WITH:	Patrick Figueroa		TIME COMPLETED:	03:23 PM

ALLEGATION(S):

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Staff are sleeping during their shift and not meeting resident needs.

INVESTIGATION FINDINGS:

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On 11/04/24, California Department of Social Services/Community Care Licensing (CDSS/CCL) associate conducted an initial unannounced complaint visit. (CDSS/CCL) associate was greeted by Administrator Patrick Figueroa. (CDSS/CCL) associate explained the purpose of this visit was to investigate the allegation mentioned above.

The investigation consisted of the following: A tour of the physical plant, interviews, and collection of records. Interviews with staff #1-#4 (S1-S4), clients #1-#4 (C1-C4) and witness #1-#3 (W1-W3). A review of Personnel Report LIC 500 dated: 09/30/24), Registered of Faciltiy Clients LIC 9020 (dated: 10/09/24) staff training materials and Personel Record LIC 500 (dated: 05/23/22 - 11/01/23). A collateral visit conducted at Intergrated Life, LLC on 11/04/24.

(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024

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-20241030170214

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: 11/04/2024

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation: Staff are sleeping during their shift and not meeting resident needs.

The details of the complaint alleged the staff at this facility sleep during shifts and are not meeting clients' care needs. It is reported there is a concern between 1:00 pm – 2:00 pm caregivers are not paying attention to the clients or sleeping on the job. There was no further information associated with this allegation.

On 11/04/24, between 9:26 am – 2:45 pm, the Department interviewed (2) out of (4) clients #1-#4 (C1-C4) who were unable to corroborate this claim. (C1-C2) claimed that staff provided adequate care and supervision and has never been left alone unattended. (C1-C2) claimed to have never observed staff sleeping on the job. (C3) was present at the facility was interviewed but unable to hold a conversation as a result of (C3's) disability. (C4) was not available for an interview.

On 11/04/24, between 9:26 am – 3:00 pm, the Department interviewed (4) out of (4) staff #1-#4 (S1-S4) and claimed this accusation was false. (S1-S4) are employees who work various morning and afternoon shifts of 6 am to 6 pm, 6 am to 12 pm, 5 am to 5 pm, 1 pm to 5 pm, and 3 pm to 7 pm. (S1-S4) verified during the hours of 1 pm – 2 pm two clients are returning from day programs clients #1 and #3 (C1 and C3). Client #4 (C4) returns from the day program after 3 pm. While client #2 (C2) remained at the facility being cared for and supervised daily by two Direct Support Professional (DSP) staff #2 -#3 (S2-S3). According to (S2-S4), the routine duties being performed while on duties consisted of assisting clients with daily activities, such as bathing, grooming, dressing, housekeeping, preparation of meals, and supervision. During the week only client #2 (C2) remained at home while the other clients were attending day program activities. (S1-S4) stated no client is left unattended. (S1-S4) claimed during half-hour breaks conducted between 11am - 12 pm no staff have taken short naps or slept during their breaks. (S1-S4) claimed that from 1 pm - 2 pm, staff is needed to be readily available for clients arriving back from day programs.

On 11/04/24 between 10:10 am – 12:30 pm, the Department interviewed (3) out of (3) witnesses #1-#3 (W1-W3) who were unable to support this claim. (W1-W3) communicated that (W1) had no concerns or issues with the care and supervision provided by the (DSP) staff. (W2) is the Harbor Regional Center Service Coordinator for all (4) clients stated (W2) just completed a Quarterly Inspection on 11/01/24 and observed (S2-S3) on duty during the inspection between 3 pm – 5 pm and were performing daily activities for clients.
(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20241030170214

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: 11/04/2024

NARRATIVE

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(W3) is the Clinical Behaviorist who comes to service the clients at this home weekly at various hours and claimed to have never observed any (DSP) staff taking naps or sleep breaks. (W1-W3) commended the personnel staff, asserted the facility has a track record of compliance and providing a safe residential home for the clients.

The Department has conducted Annual Inspection, Case Management, and Complaint visits on 09/19/24, 10/02/24, and 11/04/24 and has observed the facility with (2) DSP staff working together, executing, and providing daily activities with clients. The Department has never observed on a visit clients left unattended or (DSP) staff not providing care and supervision to clients in care.

As a result of the Department reviewing the client’s service files and personnel files for clients and staff along with staff training materials, it determined there is no evidence to support the allegation mentioned above.

Based on the information collected, an inspection of the facility, observation and interviews conducted, and an analysis of records reviewed, the Department found no evidence to support the allegation mentioned in this complaint. 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.

An exit interview is conducted with Patrick Figueroa, and a copy of the report is provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 11/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2024

LIC9099 (FAS) - (06/04)

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