<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600085
Report Date: 07/01/2024
Date Signed: 07/01/2024 09:27:43 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/27/2023 and conducted by Evaluator Jewel Baptiste
COMPLAINT CONTROL NUMBER: 28-AS-20231127135228
FACILITY NAME:CHOICES R US - WOODHUEFACILITY NUMBER:
198600085
ADMINISTRATOR:BRADFORD, SHAJUANAFACILITY TYPE:
735
ADDRESS:9523 WOODHUE STTELEPHONE:
(562) 942-1419
CITY:PICO RIVERASTATE: CAZIP CODE:
90660
CAPACITY:6CENSUS: 4DATE:
07/01/2024
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Administrator Gilbert CardenasTIME COMPLETED:
09:41 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not maitain proper Staff-Client ratios
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7/01/2024 at 8:50 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced complaint visit regarding the above allegation. LPA met with Administrator Gilbert Cardenas and discussed the purpose of the visit.

During the prior visit LPA obtained the client roster and Client #1 through Client #4 (C1-C4) Quarterly behavioral report. The facility Administrator will send the following documents via email: Staff roster, C1 -C4 1:1 authorization, Medication training, Medication Administration Records for September 2023, Timesheet for September 2023 and November 2023 and water temperature log for months September and October 2023.

Report continued on 9099c
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Jewel Baptiste
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024
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 28-AS-20231127135228
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: CHOICES R US - WOODHUE
FACILITY NUMBER: 198600085
VISIT DATE: 07/01/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
During the last visit LPA Baptiste also reviewed medications for all clients, interviewed the Administrator and a total of two (2) staff who shall be referred to as Staff#2 (S2) and Staff#4 (S4). LPA attempted to interview all clients but is unable to use C1-C3 interviews due to their cognitive impairment. LPA was able to interview C4. LPA Baptiste also attempted to interview East Los Angeles Regional Center Coordinator and left a voice mail. The service coordinator shall be referred to as Witness #1 (W1).

Prior to the visit, LPA received an email confirmation from the regional center regarding 1:1 schedule for the clients.

The investigation reveals the following: Regarding “Staff do not maintain proper Staff-Client ratios”. It was alleged the facility do not provide a proper 1:1 for C1. The facility has a total of 4 clients. 3 of the 4 clients require a 1:1. According to the 1:1 authorization documentation there are no written times for C1’s 1:1, only that it needs to be 8 hours per day, 7 days a week. The interview with the Administrator and the email from the Regional Center confirmed there are no specific time. The Administrator further stated they can use the hours the times they need, which varies.

Based on LPA's interviews, investigation revealed: 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.



Exit interview conducted with the Administrator Gilbert Cardenas and a copy of this record provided.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Jewel Baptiste
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/01/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2