198320297-5-17-2024-11-AS-MVAO-D5QQSE-20240529122525

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320297
Report Date: 05/16/2024
Date Signed: 05/17/2024 09:14:21 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
04/08/2024 and conducted by Evaluator Lizeth Villegas

COMPLAINT CONTROL NUMBER: 11-AS-20240408095128

FACILITY NAME:	LIVE LAUGH AND LOVE		FACILITY NUMBER:	198320297
ADMINISTRATOR:	REED-CHARLES, KEISHA		FACILITY TYPE:	735
ADDRESS:	100 W BARCLAY ST		TELEPHONE:	(323) 397-9047
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90805
CAPACITY:	6; 6	CENSUS: 6	DATE:	05/16/2024
		UNANNOUNCED	TIME BEGAN:	09:36 AM
MET WITH:	Caregiver Janice Anthony		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff caused injuries to a client while in care.
Staff verbally abuses a client.
Staff threatened a client with eviction.

INVESTIGATION FINDINGS:

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On 05/16/24 at 09:35 am Licensing program analyst (LPA) Villegas conducted a subsequent complaint visit to render findings. LPA met with Caregiver Janice Anthony as the Purpose of today’s visit was explained.
The investigation consisted of the following: On 04/09/2024 Licensing Program Analyst (LPA) Scott conducted an unannounced 10-Day complaint visit, LPA Scott obtained copies of the following documents: Staff/Client Roster, Admission Agreement, Needs/Service plan, ID/Emergency Information, Physicians Report, Preplacement Appraisal Information, and eviction Notice. On 04/17/24 at 1:30 p.m., Licensing Program Analyst (LPA) Lizeth Villegas conducted a subsequent complaint visit regarding the allegations above and met with Licensee Keisha Reed Charles, LPA Villegas interviewed staff #1-5 (S1-S5), and Client#1-6 (C1-C6).

The investigation revealed the following:
Allegation: Staff caused injuries to a client while in care

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024

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-20240408095128

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: LIVE LAUGH AND LOVE	FACILITY NUMBER: 198320297
	VISIT DATE: 05/16/2024

NARRATIVE

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It is being alleged that staff attacked C1 which resulted in C1 having scratches, a bloody nose, and marks all over client’s arms. On 04/17/24 at 10:55 am LPA interviewed S1 regarding the allegation above, S1 denied the allegation above. Per S1, C1 began cursing at S1 as staff and clients were preparing to make their way to a bubble fest, S1 reports S1 told C1 not to speak to S1 in that matter and that staff and clients were able to get to the fest right after. On 04/17/24 between 11am-12:04 pm LPA interviewed S2-S5 regarding the allegation above, 3 of 4 staff interviewed denied the allegation above and reported being present when C1 began cursing at S1 while in the van. 1 of 4 staff interviewed denied the allegation above and reported not being present at the time of the incident, however, was informed of the incident the next day and proceeded to complete an unusual incident report. On 04/17/24 2:15pm LPA interviewed C1 regarding the allegation above, per C1, S1 thought C1 cursed at S1 and S1 began to hit C1 followed by a headbutt. C1 continued to report C1 obtained bruises on C1’s arms and had a bloody nose. On 04/17/24 between 9:30am-10:45 am LPA interviewed C2-C6 regarding the allegation above 3 of 5 clients interviewed denied the allegation above, 1 of 5 clients refused to be interviewed, 1 of 5 clients interviewed reported that C1 and S1 were arguing and that S1 hit C1 in the arm which resulted in a bruise. During LPA visit LPA did not observe any bruising on C1.

Allegation: Staff verbally abuses a client.

It is being alleged that S1 has a history of verbally abusing C1. On 04/17/24 10:55 am LPA interviewed S1 regarding the allegation above, S1 denied the allegation above and reported C1 verbally abuses facility staff. Per S1, C1 became disrespectful and starting curses after finding out C1 had to pay the full rent amount starting 04/01/24. On 04/17/24 between 11am-12:04 pm LPA interviewed S2-S5 regarding the allegation above, 3 of 4 staff interviewed denied the allegation above. On 04/17/24 2:15 pm LPA interviewed C1 regarding the allegation above, per C1 S1 yells at clients all the time for no reason. On 04/17/24 between 9:30am- 10:45am LPA interviewed C2-C6 regarding the allegation above, 4 of 5 clients interviewed denied the allegation above, 1 of 5 clients refused to be interviewed.

Allegation: Staff threatened a client with eviction

It is being alleged that facility staff threatened a client with eviction. On 04/17/24 10:55 am LPA interviewed S1 regarding the allegation above, S1 denied the allegation above. Per S1, If a client does not follow the facility rules that client is informed that not follow the facility rules can lead to eviction. S1 continued to report that evictions are done the right way as the client being evicted is provided with a 30-60 day notice.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20240408095128

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: LIVE LAUGH AND LOVE	FACILITY NUMBER: 198320297
	VISIT DATE: 05/16/2024

NARRATIVE

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On 04/17/24 between 11am- 12:04pm LPA interviewed S2-S5 regarding the allegation above, 3 of 4 staff interviewed denied the allegation above. 1 of 4 staff interviewed reports that a previous client was threatened with an eviction, however the client left the facility before eviction occurred. On 04/17/24 at 2:15 pm LPA interviewed C1 regarding the allegation above, per C1. S1 gave C1 an eviction notice a few days after the van incident. C1 continued to report C1 is looking for a new placement. On 04/17/24 between 9:30am- 10:45 am LPA interviewed C2-C6 regarding the allegation above, 4 of 5 clients interviewed denied the allegation above, 1 of 5 clients refused to be interviewed. On 04/17/24, LPA conducted a file review and observed an 30 day eviction notice for C1 for non-payment of the rent. LPA reviewed the eviction notice and it appears to be in compliance with Title 22 Regulation Eviction Procedures and was sent to Licensing within 5 days of issuance.

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 is unsubstantiated.

Exit interview conducted with Caregiver Janice Anthony, and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2024

LIC9099 (FAS) - (06/04)

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