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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600581
Report Date: 12/30/2024
Date Signed: 12/30/2024 01:16:38 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
09/09/2024 and conducted by Evaluator Bennette Pena
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240909162814
FACILITY NAME:HOMES FOR LIFE FOUNDATION-HFL CEDAR STREET HOMEFACILITY NUMBER:
198600581
ADMINISTRATOR:VIDA ANDRADEFACILITY TYPE:
735
ADDRESS:11401 BLOOMFIELD, BLDG.305-307TELEPHONE:
(562) 207-9660
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:38CENSUS: 30DATE:
12/30/2024
UNANNOUNCEDTIME BEGAN:
10:16 AM
MET WITH:Vida Andrade - AdministratorTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not prevent residents from using felony drugs in the facility.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced subsequent complaint visit to investigate the above-mentioned allegation and deliver finding. LPA was met by Vida Andrade, Administrator and the purpose of the visit was explained.

The investigation consisted of: During the initial complaint visit on 9/10/2024, LPA conducted a health and safety check tour of the facility and common areas, including Client #1 (C1) - Client #3 (C3) bedrooms. LPA obtained copies of the Staff & Client Rosters, House rules, Facility sketch, C1-C3 files such as: Identification & Emergency Information, Admission Agreement, Physician's Report, Pre Appraisal Form, Functional Capability Assessment, Medication Logs (July 2024-Sept. 2024) and Unusual Incident/Injury Reports.

During today’s visit, LPA toured the facility and common areas, obtained copies of staff & client rosters and reviewed House rules. LPA interviewed Staff #1 (S1)-Staff #3 (S3) and Client #3 (C3) – Client #5 (C5). *****CONTINUED ON LIC9099-C*****
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Bennette Pena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2024
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-20240909162814
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: HOMES FOR LIFE FOUNDATION-HFL CEDAR STREET HOME
FACILITY NUMBER: 198600581
VISIT DATE: 12/30/2024
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
The investigation revealed the following:

In regards to the allegation: “Staff did not prevent residents from using felony drugs in the facility.” It is alleged that multiple residents in the facility have been using felony drugs in the facility for approximately three months and R1 was seen using cocaine and staff are not doing anything to address the drug use by residents. CDSS IB Investigator interviewed C1-C2 and S1 and revealed that C1 admitted abusing methamphetamine; however, C1 will begin a drug program to assist him in becoming drug free. S1 stated that staff is aware of C1’s drug abuse and have taken steps to help C1 become drug free. S1 indicated that C1 is now enrolled and will begin in a drug abuse program to help him with his drug addiction. S1 stated that staff conducts random testing of all the clients and has begun to drug test C1 on a weekly basis. S1 also indicated that the facility provides services for people with severe drug addiction. (3) out of (3) staff interviewed by LPA stated that they conduct visual checks and regular/random room checks to monitor substance abuse. Staff indicated that they have not smelled or seen any client use drugs or with drug paraphernalia. Clients interviewed by LPA stated that they have not seen anyone use drugs, or have seen them with drug paraphernalia in the facility. Some clients indicated that they know to report any drug use or suspicious behavior to the Administration.

Based on interviews conducted with clients and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation. 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, a copy of this report and Appeals Rights were provided to Vida Andrade, Administrator.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Bennette Pena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2