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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600486
Report Date: 09/20/2022
Date Signed: 09/20/2022 11:48:07 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
09/13/2022 and conducted by Evaluator Mary G Flores
COMPLAINT CONTROL NUMBER: 28-AS-20220913094627
FACILITY NAME:CHOICES R US - FAUSTFACILITY NUMBER:
198600486
ADMINISTRATOR:GILBERT CARDENASFACILITY TYPE:
735
ADDRESS:13019 FAUST AVETELEPHONE:
(562) 803-7969
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:4CENSUS: 4DATE:
09/20/2022
UNANNOUNCEDTIME BEGAN:
09:26 AM
MET WITH:Lan Ly - Administrator TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff member speaks inappropriately and threatens clients while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst(s)(LPA) Mary Flores conducted an unannounced complaint investigation visit at the facility regarding the above allegation(s). LPA Flores met with Todkashane Lawson Direct Support Staff and explained the reason for the visit. Administrator Lan Ly arrrived 30 minutes later.

The investigation consisted of the following: LPA Flores requested a copy of the the staff/client roster. LPA conducted interviews with administrator, client #1(C1), #2(C2) over the phone and staff #2(S2),#(S3). Attempted to interview client #3(C3),#4(C4) over the phone. Attempted to contact South Central Regional Center representative. LPA Flores requested copies of clients admission agreement, personal rights, house rules and face sheets. staff's personal rights training, administrator certificate and administrator's application.

The investigation revealed the following: Regarding allegation: Staff member speaks inappropriately and threatens clients while in care. It is alleged staff screams and hurls insults and talks to the clients in a very condescending manner and threatening clients that do not behave.
(CONTINUED ON LIC 9099C)
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Stefanie Coronel
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
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-20220913094627
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 - FAUST
FACILITY NUMBER: 198600486
VISIT DATE: 09/20/2022
NARRATIVE
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Interviews with clients revealed 2 out of 2 clients interview stated that staff and administrator do not speak to them in a disrespectful manner or threat them. Interviews with staff revealed 2 out of 2 staff stated that staff and administrator do not speak to clients with threats or in a condescending manner. Interview with administrator revealed clients have not shared of any staff mistreating or threatening them and administrator does not speak to clients in a disrespectful manner. Administrator has been working at facility since May 2022. Documents reviewed revealed clients have signed Personal Rights (LIC 613) and are service through South Central Regional Center. Facility provided staff with Personal Rights/Zero Tolerance training on 5/3/22.

Based on interviews conducted, there was insufficient evidence to prove the allegation(s). 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 was conducted with Lan Ly Administrator and a copy of this report was provided.
NAME OF LICENSING PROGRAM MANAGER: Stefanie Coronel
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/20/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2