198600581-8-22-2023-28-AS-LHIS-CVDJW3-20230905072401

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600581
Report Date: 08/22/2023
Date Signed: 08/22/2023 01:36:32 PM

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
08/14/2023 and conducted by Evaluator Jewel Baptiste

COMPLAINT CONTROL NUMBER: 28-AS-20230814154118

FACILITY NAME:	HOMES FOR LIFE FOUNDATION-HFL CEDAR STREET HOME		FACILITY NUMBER:	198600581
ADMINISTRATOR:	VIDA ANDRADE		FACILITY TYPE:	735
ADDRESS:	11401 BLOOMFIELD, BLDG.305-307		TELEPHONE:	(562) 207-9660
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	38	CENSUS: 27	DATE:	08/22/2023
		UNANNOUNCED	TIME BEGAN:	09:23 AM
MET WITH:	Administrator Vida Andrade		TIME COMPLETED:	01:50 PM

ALLEGATION(S):

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Staff are withholding partial P & I funds from resident

INVESTIGATION FINDINGS:

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On 8/22/23 at 9:23 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted an unannounced complaint visit to the facility. Upon arrival LPA met with Facility Manager Nicholas Novella. Administrator Vida Andrade arrived at 10:30 and LPA explained the purpose of the visit.

During today’s visit LPA toured the facility with House Manager. LPA obtained resident roster, staff roster, House rules, Admissions agreement, Face sheet, behavioral contract, drug prohibition sign with consequences, C1’s safeguards of cash resources and C1’s physicians report. LPA also interviewed: Administrator and a total of two (2) staff who shall be referred to as S1, and S2. LPA interviewed a total of 6 clients who shall be referred to as: C1 through C6. Client #6 (C6) refused to be interviewed.

Report continued 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: 08/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2023

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-20230814154118

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: HOMES FOR LIFE FOUNDATION-HFL CEDAR STREET HOME	FACILITY NUMBER: 198600581
	VISIT DATE: 08/22/2023

NARRATIVE

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The investigation reveals the following: Regarding " Staff are withholding partial P & I fund from resident”. It is alleged the facility will not allow C1 to have full control of their P&I funds. The administrator denied the allegation stating the facility has never withhold money from the clients. The administrator further stated the program is a minimum 6-month transitional program that requires drug testing on a weekly basis. If a client tests positive, the facility will reduce the amount of money the client receives that week and purchase all necessary items the clients’ requests. S1 stated that they are primarily in charge of the client’s finances and that C1 has tested positive for illegal substances for the last six weeks. S1 further stated that C1 is still in the process of receiving money from DMH and the money C1 receives is a loan from the facility. S2 stated the facility has rules posted throughout the facility regarding the banking process if illegal substances are found in the client’s system and the process is also conveyed to clients during meetings. 4 out of 6 clients denied the allegation stating the facility has never withhold money from them. 3/6 clients stated they have received their money but when they test positive, they only received a dollar. LPA observed a sign prohibiting illegal substances and consequences if those substances is found in the client’s system. LPA also reviewed C1’s safeguards cash resources sheet and confirmed the client has no money received since admission into the facility.

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 Vida Andrade 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: 08/22/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/22/2023

LIC9099 (FAS) - (06/04)

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