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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600626
Report Date: 08/08/2025
Date Signed: 08/08/2025 01:40:17 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
08/01/2025 and conducted by Evaluator Bennette Pena
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250801135619
FACILITY NAME:NEW BEGINNINGS ATCHINSONFACILITY NUMBER:
198600626
ADMINISTRATOR:JANICE COLLINSFACILITY TYPE:
735
ADDRESS:403 ATCHISON STREETTELEPHONE:
(626) 398-0911
CITY:PASADENASTATE: CAZIP CODE:
91104
CAPACITY:6CENSUS: 4DATE:
08/08/2025
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Crystal Rose - Administrator
Ronda Williams - House Manager
TIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff are not allowing a client to leave client's room.
Facility is not providing a sufficient amount of gloves to staff.
Facility has an insufficient amount of cleaning supplies.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Bennette Pena and Gabriela Castro conducted an unannounced initial 10-day complaint investigation into the allegations listed above. LPA met with Ronda Williams, House Manager and explained the purpose of the visit. At 10:27am, Crystal Rose, Administrator arrived and assisted LPAs.

The investigation consisted of the following: LPAs conducted a tour of the physical plant and inspected PPEs, cleaning supplies, clients bedrooms/bathrooms and kitchen. LPAs obtained copies of the Client & Staff Rosters, Staff schedule, Staff DSP training certificates, Exterminator service report/invoice (dated 07/11/2025 & 08/04/2025). LPAs also reviewed/obtained pertinent files for Staff #1 (S1) - Staff #10 (S10) and Client #1 (C1) - Client #2 (C2). LPAs also interviewed Staff #1 (S1) - Staff #2 (S2), Client #3 (C3) - Client #4 (C4), Client #1 (C1) - Client #2 (C2) are out in the day program; therefore not interviewed. LPAs also interviewed the Service Coordinator (SC) at Frank D. Lanterman Regional Center. *****CONTINUED ON LIC 9099-C****

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
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-20250801135619
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: NEW BEGINNINGS ATCHINSON
FACILITY NUMBER: 198600626
VISIT DATE: 08/08/2025
NARRATIVE
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The investigation revealed the following:

Allegation: "Staff are not allowing a client to leave client's room." It is alleged that (2) clients need 1:1 staff supervision, but clients are being kept in their room and not allowed to leave the room. Staff interviewed denied the allegation. S1-S2 stated that C1 has an isolation behavior, tends to separate themselves from others and prefers to be in the room. Staff stated that none of the clients are confined or prohibited from leaving their rooms. Interviews conducted with the clients did not corroborate the allegation. C3-C4 stated that they are free to go around the home and none of the staff have prevented them from leaving their rooms. LPAs observed C3-C4 walking around the home, eating in the dining area and performing household chores. Therefore, there was insufficient evidence to corroborate with this allegation.

Allegation: "Facility is not providing a sufficient amount of gloves to staff." It is alleged that there are not enough gloves purchased, and staff need to wear gloves when administering medication. Staff interviewed denied the allegation. S1 stated that all staff who administer medication use gloves, which are readily available and kept in the medication cabinet. S2 denied the allegation and indicated that the facility has a gloves subscription that is delivered every 2 weeks. LPAs observed adequate supply of disposable gloves stored in the medication cabinet. Interviewed clients cannot provide any information on the glove supply, other than confirming that they have seen staff wearing gloves when giving them medications. Therefore, there was insufficient evidence to corroborate with this allegation.

Allegation: "Facility has an insufficient amount of cleaning supplies." It is alleged that the facility is not purchasing enough cleaning supplies and staff have to purchase their own supplies and not get reimbursed. Interviewed staff denied the allegation. S1 stated that they conduct a weekly walk-through to assess the supplies needed, and the Management uses Zelle to give them money to buy them. S2 stated that they provide cleaning supplies regularly. Clients interviewed stated that they have seen enough cleaning supplies. During the tour of the facility, LPAs observed sufficient cleaning supplies kept in a cabinet under the kitchen sink and in the detached garage. Therefore, there was insufficient evidence to corroborate with this allegation.

Based on statements and interviews conducted with staff, clients, review of client and facility file records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview held and a copy of this report was provided to Crystal Rose, Administrator.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:

DATE: 08/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2025
LIC9099 (FAS) - (06/04)
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