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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600626
Report Date: 10/23/2023
Date Signed: 10/23/2023 02:26:58 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
02/16/2023 and conducted by Evaluator Jewel Baptiste
COMPLAINT CONTROL NUMBER: 28-AS-20230216092325
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:
10/23/2023
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Assistant Administrator Passion Letuli TIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Facility staff yell at residents while in care.
INVESTIGATION FINDINGS:
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On 10/23/2023, Licensing Program Analyst (LPA) Jewel Baptiste conducted a subsequent complaint visit regarding the above allegation. The purpose of the visit was explained to Assistant administrator Passion Letuli.
During the initial visit on 2/21/2023, LPA conducted a physical tour, interviewed the Administrator Margrate Diaz, staff (S2-S3), and resident (R1). R2 refused the interview. Residents (R3-R4) was at their day program. LPA reviewed files for R1 and S1, and the following documents was obtained: two (2) employee warning notices, S1’s CPI training, and personal rights signed by S1.

During todays visit LPA interviewed the administrative assistant and R3. LPA was unable to interview R4 due to limited communication. LPA also obtained IPPs for R1 and R4. LPA attempted to contact Case manager(W1) for R1 and left a voice mail.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Jewel Baptiste
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2023
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-20230216092325
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: NEW BEGINNINGS ATCHINSON
FACILITY NUMBER: 198600626
VISIT DATE: 10/23/2023
NARRATIVE
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The investigation reveals the following: The investigation reveals the following: Regarding " Facility staff yelled at residents while in care”. It is alleged that Staff yells at residents to do their activities of daily living. The Administrator denied the allegation stating they have not witness staff yelled at residents and will do an investigation. 3 out of 4 staff denied witnessing staff yelling at residents or making comments against residents. 1 out of 4 staff stated they have not witnessed staff yelling at residents but overheard staff stating they will retaliate if residents become aggressive. LPA conducted file reviewed and did not observe disciplinary actions regarding the above allegation. 2 out of 4 clients stated that staff has not yelled at them. 1 out of 4 clients refused the interview. 1 out of 4 clients is nonverbal.

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 Passion L 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: 10/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2