198600626-8-18-2023-28-AS-DSIS-CVLLR6-20230912085833

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600626
Report Date: 08/18/2023
Date Signed: 08/18/2023 10:55:42 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
08/14/2023 and conducted by Evaluator Christine Wong

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20230814130116

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:	08/18/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Margaret Harvey		TIME COMPLETED:	11:10 AM

ALLEGATION(S):

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Facility is dirty and unsanitary
Facility temperature is uncomfortable
Facility is disrepair

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Christine Wong and Nune Margaryan conducted an initial 10 days complaint to accertain information for the above allegation(s) to establish the validity of the complaint. LPAs met with the administrator Margaret Harvey and allowed the entry of the visit and explained the reason of the visit and also assisted LPAs with the visit.

The investigation consisted of the following: On today's date, LPA conducted an interview with administrator, house manager, two clients (C1-C2) in the facility, client#3 (C3) via telephone and attempted to interview Client#4 via telephone and C2's one to one. LPAs also toured the whole facility (upstairs and downstairs).

(See LIC9099C for continuation)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: David Sicairos	TELEPHONE: (323)980-4934
LICENSING EVALUATOR NAME: Christine Wong	TELEPHONE: (323) 981-3963
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2023

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-20230814130116

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: 08/18/2023

NARRATIVE

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The investigation revealed of the following: Allegation#1 "Facility is dirty and unsanitary" LPAs interviewed clients and denied the allegation and reported the facility is clean and sanitary. LPAs interviewed staff and all denied the allegation. LPAs also toured the facility and observed the facility especially the main bathrooms is clean, sanitary and in a good working condition. There's no smell or any odor in the facility and the bathrooms. LPAs did not observe any hole between the roof and the two client's bedrooms. It is an operational wall mount fan up on the roof.

Allegation#2 "Facility temperature is uncomfortable" LPAs interviewed clients and denied the allegation and reported they never felt uncomfortable in the facility. The facility was never too hot. LPAs interviewed staff and all denied the allegation. LPAs observed there's an air condition in the living room and all clients bedrooms. All the air conditioning are operational and working well and the temperature in the facility is 75 degrees which is maintained the required temperature.

Allegation#3 "Facility is disrepair" LPA interviewed clients and denied the allegation and reported everything in the facility is working probably. They never seen or observed anything in the facility was dis-repaired. LPA interviewed staff and all denied the allegation. LPAs toured the facility and including all bathrooms are in a good shape and did not observe any mold, any paint was peeling off the walls. The faucet in the shower and the toilet are clean and LPAs did not observe any rust.

Based on the observations and interviewed conducted with staff and clients, 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 allegations are UNSUBSTANTIATED.

Exit interview conducted and appeal rights and a copy of this report was provided to Administrator Margaret Harvey.
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SUPERVISOR'S NAME: David Sicairos	TELEPHONE: (323)980-4934
LICENSING EVALUATOR NAME: Christine Wong	TELEPHONE: (323) 981-3963
LICENSING EVALUATOR SIGNATURE:	DATE: 08/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2023

LIC9099 (FAS) - (06/04)

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