198600241-4-2-2024-28-AS-RORN-D3ZV4X-20240404160703

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600241
Report Date: 04/02/2024
Date Signed: 04/02/2024 09:16:02 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
01/18/2024 and conducted by Evaluator Mary G Flores

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240118161724

FACILITY NAME:	CHOICES R US - SPRY		FACILITY NUMBER:	198600241
ADMINISTRATOR:	BRADFORD, SHAJUANA		FACILITY TYPE:	735
ADDRESS:	9614 SPRY ST		TELEPHONE:	(562) 302-0348
CITY:	DOWNEY	STATE: CA	ZIP CODE:	90242
CAPACITY:	6	CENSUS: 6	DATE:	04/02/2024
		UNANNOUNCED	TIME BEGAN:	08:23 AM
MET WITH:	Lorna Garcia - Direct Support Staff		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Staff did not prevent inappropriate interactions between clients in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA)s Mary Flores and Christian Gutierrez conducted a subsequent complaint investigation visit regarding the above allegation. LPA met with Lorna Garcia and explained the reason for the visit.

The visit consisted of the following: On 1/23/24 LPA Flores conducted an initial visit and requested copies of client and staff roster, psychological evaluation, independent service plan, admission agreement, physician's report, and identification and emergency information sheet for client #1-#2 (C1-C2). LPA interviewed administrator. On 3/18/24 LPA Flores interviewed 3 clients over the phone. On 4/2/24 LPA Flores interviewed 3 staff.

The investigation revealed the following: Regarding allegation: Staff did not prevent inappropriate interactions between clients in care. It is alleged a client has reported that another client has requested sexual favors at the facility and other client undresses self at night time and requests "things".(CONTINUED ON LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2024

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 28-AS-20240118161724

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: CHOICES R US - SPRY	FACILITY NUMBER: 198600241
	VISIT DATE: 04/02/2024

NARRATIVE

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Interviews conducted with clients revealed 3 out of 3 clients stated to get along with other clients at the home and do not have issues between them. However, when LPA attempted to ask additional questions clients were not able to continue with providing answers due to cognitive skills. Interviews with staff revealed staff have not heard or witness any inappropriate behaviors at the home. Per administrator there is a wake staff in the night shift from 10:00pm - 6:00am and supervision is provided. Night shift stated to be awake at night and checking on clients every hour. Documents review did not show a history of inappropriate behaviors.

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 was conducted with Shajuana Bradford - Administrator and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/02/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/02/2024

LIC9099 (FAS) - (06/04)

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