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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320329
Report Date: 06/19/2024
Date Signed: 06/19/2024 02:26:24 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
06/13/2024 and conducted by Evaluator Felisa Shirley
COMPLAINT CONTROL NUMBER: 11-AS-20240613115108
FACILITY NAME:DALTON CARE HOMES, INC.FACILITY NUMBER:
198320329
ADMINISTRATOR:QUAN, MARIAFACILITY TYPE:
735
ADDRESS:16015 S. DALTON AVENUETELEPHONE:
(310) 714-6537
CITY:GARDENASTATE: CAZIP CODE:
90247
CAPACITY:6CENSUS: 4DATE:
06/19/2024
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Mariel Ventura, AdministratorTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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9
Staff handle resident roughly
Staff do not allow residents to come out of their rooms
Staff yell at residents
Staff do not have P&I monies/ledgers on site
P&I ledger is not accurate
INVESTIGATION FINDINGS:
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13

On 6/19/24 Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced complaint visit to the address listed above. LPA was greeted by staff, Joselyne Espares. Staff notified the Administrator. LPA was granted access to the facility. Administrator, Mariel Ventura arrived and the purpose of the visit was discussed.

The investigation consisted of the following: On 6/19/24 LPA reviewed: Resident Files, Resident roster, physician reports, SIR, P&I records, toured the facility and interviewed staff.


The investigation revealed the following:

Con'd on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2024
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 4
Control Number 11-AS-20240613115108
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: DALTON CARE HOMES, INC.
FACILITY NUMBER: 198320329
VISIT DATE: 06/19/2024
NARRATIVE
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Allegation: Staff handles residents roughly

It is being reported that the staff at this facility handles the residents in a rough way. LPA arrived at this facility and spoke with both staff and the administrator. LPA toured the facility for a health and safety check. LPA reviewed incident reports for the last 3 months and did not find any reports of abuse or bruises. Gardena Police, 3 officers came to facility on 6/13/24 because they received an anonymous call regarding the residents being in danger. LPA reviewed SIR to Regional from this facility notifying them of the Gardena P.D. visit. Police left after inspection and determined there was no danger present. On 6/19/24, LPA interviewed staff-1 thru staff-5 (S-1 thru S-5). LPA ask, “Does the staff at this facility handle residents roughly?” Of those interviewed, 5 out of 5 answered no. 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.

Allegation: Staff do not allow residents to come out of their rooms

On 6/19/24, LPA arrived at this facility and observed two residents, R-1 and R-2 sitting in the living room. On previous visits, LPA always observed the residents in the living room. On 6/19/24, LPA toured the facility for a health and safety check. On 6/19/24, LPA interviewed staff-1 thru staff-5 (S-1 thru S-5). LPA ask, “Does staff allow the residents to come out of their rooms?” Of those interviewed, 5 out of 5 answered yes. 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.

Con'd on 9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 11-AS-20240613115108
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: DALTON CARE HOMES, INC.
FACILITY NUMBER: 198320329
VISIT DATE: 06/19/2024
NARRATIVE
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3
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6
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Allegation: Staff yells at residents

It is being reported that the staff yells at the residents. On 6/19/24, LPA arrived at this facility and observed staff laughing and talking. Staff appeared to be enjoying the day. LPA listened at the door and the window before I rang the doorbell. LPA observed two residents, R-1 and R-2 sitting in the living room. On previous visits, LPA never sensed any aggressions towards the residents. On 6/19/24, LPA toured the facility for a health and safety check. On 6/19/24, LPA interviewed staff-1 thru staff-5 (S-1 thru S-5). LPA ask, “Does staff yell at the residents?” Of those interviewed, 5 out of 5 answered no. 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.

Allegation: Staff does not have P&I monies/ledgers on site

It was reported that staff does not have P&I records on site. LPA reviewed regulation and reviewed with LPM that it is ok to have P&I funds locked and secured in an office off premises. Records were readily available upon request. LPA reviewed three resident records as R-4’s mother handles all money transactions and records. On 6/19/24, LPA interviewed staff-1 thru staff-5 (S-1 thru S-5). LPA ask, where are the P&I monies/ledgers kept. Of those interviewed, 4 out of 5 answered, I don’t know. 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.

Con'd 9099-C

SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4
Control Number 11-AS-20240613115108
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: DALTON CARE HOMES, INC.
FACILITY NUMBER: 198320329
VISIT DATE: 06/19/2024
NARRATIVE
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3
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Allegation: P&I ledger is not accurate

It was reported that the resident’s P&I records are not accurate. LPA reviewed all P&I records for residents R-1 thru R-3. R-4 records are not available as their mother handles all money transactions and records. All P&I ledgers are accurate. On 6/19/24, LPA interviewed staff-1 thru staff-5 (S-1 thru S-5). LPA ask, does staff keep accurate records of P&I funds. Of those interviewed, 3 out of 5 answered, I don’t know. 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.


There were no deficiencies issued for this visit.

An exit interview was conducted and a copy of the LIC 9099 was provided to Administrator, Mariel Ventura.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Felisa Shirley
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4