198600626-8-23-2025-28-AS-DSIS-DLUPR9-20250925113218

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600626
Report Date: 08/23/2025
Date Signed: 08/23/2025 11:24:06 AM

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

COMPLAINT CONTROL NUMBER: 28-AS-20250801135619

FACILITY NAME:	NEW BEGINNINGS ATCHINSON		FACILITY NUMBER:	198600626
ADMINISTRATOR:	JANICE COLLINS		FACILITY TYPE:	735
ADDRESS:	403 ATCHISON STREET		TELEPHONE:	(626) 398-0911
CITY:	PASADENA	STATE: CA	ZIP CODE:	91104
CAPACITY:	6	CENSUS: 4	DATE:	08/23/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Crystal Rose - Administrator Ronda Williams - House Manager Khisheka Little - Care Staff		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility is not keeping the facility free of pests.
The physical plant is in disrepair.
Staff are not adequately trained.
Facility has insufficient staffing to provide adquate care and supervision.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Bennette Pena conducted a subsequent unannounced visit to investigate the allegations listed above and to deliver findings. LPA met with Khisheka Little, Care Staff and explained the purpose of the visit. Shortly after, Ronda Williams, House Manager and Crystal Rose, Administrator arrived and assisted LPA.

The investigation consisted of the following: On 08/08/2025, LPAs Pena and Castro conducted a tour of the physical plant and inspected facility’s 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) and Client #3 (C3) - Client #4 (C4).

During today's visit, LPA conducted another tour of the physical plant and inspected the door to the bathroom upstairs and delivered findings. *****CONTINUED ON LIC9099-C*****

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2025

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-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: 08/23/2025

NARRATIVE

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Allegation: "Facility is not keeping the facility free of pests." It is alleged that staff had seen rodents in the kitchen and reported it, but does not believe the rat issue has been addressed. Staff interviewed stated that the night shift staff had reported seeing a rat in the kitchen and in the hallway upstairs. Staff interviewed revealed that an exterminator service visits the facility monthly. Interviewed staff also stated that the rat problem had been addressed and that the exterminator had set traps and inspected the surrounding area in order to eradicate the rats. (1) out of (2) clients interviewed stated that they saw the rat in the hallway upstairs and confirmed that an exterminator had been to the facility to address the problem. LPA reviewed the exterminator’s service report dated 08/04/2025 showing that the exterminator had put up rat trap glue in the home. During the visit, LPA did not observe a rat. According to the Service Coordinator at the Regional Center, they did not receive a report about this allegation, so no investigation is being conducted. Therefore, there was insufficient evidence to corroborate with this allegation.

Allegation: "The physical plant is in disrepair." It is alleged that the door hinges are loose and falling off due to screws being missing in the facility. Staff interviewed denied the allegation. Interviewed staff stated that any broken items at home are immediately repaired. Clients interviewed also denied the allegation. LPA inspected the upstairs bathroom door during the visit and found that the door hinges were not loose and falling off as a result of missing screws. LPA observed that the facility is clean and well-kept. According to the Service Coordinator at the Regional Center, they did not receive a report about this allegation, so no investigation is being conducted. Therefore, there was insufficient evidence to corroborate with this allegation.

Allegation: "Facility has insufficient staffing to provide adequate care and supervision." It is alleged that two clients need 1:1 supervision, but staff are not working their assigned hours. Staff interviewed denied the allegation. S1-S2 stated that they are willing to stay over and available to work other shifts if another staff couldn't come in to work. Staff interviewed also stated that the staff schedule has not been updated reason why there were names listed who were no longer associated to the facility. Clients interviewed stated that they see enough staff assisting them and they meet their needs. According to the Service Coordinator at the Regional Center, they did not receive a report about this allegation, so no investigation is being conducted. Therefore, there was insufficient evidence to corroborate with this allegation.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2025

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: 08/23/2025

NARRATIVE

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Allegation: "Staff are not adequately trained." It is alleged that staff are working at the facility without having required Direct Service Provider training (DSP 1 and 2). It is alleged that staff are working at the facility without having required Direct Service Provider training (DSP 1 and 2). S2 stated that most of the staff working have enrolled in the DSP courses which will begin in August 2025. LPA reviewed (10) staff files to verify Direct Service Provider training and discovered that (4) staff did not have DSP training, (3) of whom started working in June 2025 and have registered for the training. Document reviews revealed that (1) staff did not have DSP training and have not completed the training. However, the Regional Center's requirement is to complete DSP training within a year after the hire date. Clients interviewed cannot comment on the allegation but stated that they get assistance with the staff and have no issues. Document reviews revealed that either S1 or S2 conduct orientation training and monthly training on different topics to the staff. According to the Service Coordinator at the Regional Center, they did not receive a report about this allegation, so no investigation is being conducted. Therefore, there was insufficient evidence to corroborate with this allegation.

Based on statements and interviews conducted with staff, clients and document reviews, 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 conducted and copy of report was provided to Crystal Rose, Administrator.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Bennette Pena
LICENSING EVALUATOR SIGNATURE:	DATE: 08/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/23/2025

LIC9099 (FAS) - (06/04)

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