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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600241
Report Date: 09/10/2024
Date Signed: 09/10/2024 01:21:39 PM

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
08/30/2024 and conducted by Evaluator Mary G Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240830160338
FACILITY NAME:CHOICES R US - SPRYFACILITY NUMBER:
198600241
ADMINISTRATOR:BRADFORD, SHAJUANAFACILITY TYPE:
735
ADDRESS:9614 SPRY STTELEPHONE:
(562) 302-0348
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:6CENSUS: 6DATE:
09/10/2024
UNANNOUNCEDTIME BEGAN:
12:32 PM
MET WITH:Stephanie Johnson - Direct Support StaffTIME COMPLETED:
01:35 PM
ALLEGATION(S):
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Staff is not ensuring that facility bathroom is kept clean.
Staff are requiring residents to bathe with dirty towels.
Staff are not meeting resident's dietary needs.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA)s Mary Flores conducted an unannounced subsequent complaint investigation visit regarding the above allegations. LPA met with Stephanie Johnson and explained the reason for the visit.

The investigation consisted of the following: On 9/5/24 LPAs Flores and Cota conducted an initial complaint investigation visit. During the visit LPAs requested a copy of staff/client rosters, at around 9:30am conducted a tour of the facility with Stephanie Johnson and observed clients’ bedrooms, kitchen, and two bathrooms. LPAs reviewed client #1(C1)’s file and requested copies of individual service plan, physician’s report, last medical appointment, weight chart, last dental checkup, quarterly individual service plan meeting, facility’s menu, and interviewed 4 staff. On 9/5/24 LPA Cota interviewed 1 client over the phone. On 9/9/24 LPA Flores interviewed 1 client over the phone. On 9/10/24 LPA Flores delivered findings.

(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: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
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 3
Control Number 28-AS-20240830160338
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: 09/10/2024
NARRATIVE
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The investigation consisted of the following: Regarding allegation: Staff is not ensuring that facility bathroom is kept clean. It is alleged that the bathrooms are dirty with urine left on the toilets for a month. Interviews conducted with clients revealed 1 out of 2 clients stated bathrooms are clean and 1 out of 2 clients was not able to answer the question due to cognitive skills. Interviews with staff revealed bathrooms are clean daily in each shift and after each client’s use if require. As they are aware some clients may not aim directly at the toilet. During the tour of the facility LPAs observed two bathrooms which were clean. Bathrooms’ floor, toilet, bottom of toilet were free of stains or urine and no odors were noticed.

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.

Regarding allegation: Staff are requiring residents to bathe with dirty towels. It is alleged clients are required to use the dirty towels that the staff clean with when they take showers. Interviews with clients revealed, 1 out of 2 clients stated to have clean towels for showers and 1 out of 2 clients was not able to answer due to cognitive skills. Interviews with staff revealed that towels are provided to the clients at the time of the shower as they are stored in the linen closet. Per staff towels are wash daily after the clients take showers and are available. Staff stated that before the shower the client is provided a clean towel to wash and a clean towel to dry themselves. During the tour of the facility LPAs observed a linen closet with sufficient towels of different sizes available for the clients in care.

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.

Regarding allegation: Staff are not meeting resident’s dietary needs. It is alleged client is fed meat and the client cannot have meat due to not being able to chew and often refuses to eat. Interviews with clients revealed 2 out of 2 clients stated to be provided food and not have issues with the food. Interviews with staff revealed that only one client usually has a different food preference from the menu. C1 is provided choices that may be more of C1’s taste any time C1 does not want to eat what has been prepared. Staff stated clients do not have special diets, difficulties eating due to dental problems, or have shown/complaint of pain while eating their meals. Document review revealed no special diets for any of the clients and C1 was last seen by a dentist on 11/16/23 for an annual checkup.
(CONTINUED ON LIC 9099C)
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20240830160338
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: 09/10/2024
NARRATIVE
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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 Stephanie Johnson 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: 09/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/10/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3