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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600626
Report Date: 03/21/2023
Date Signed: 03/21/2023 10:38:00 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
03/13/2023 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20230313132753
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:
03/21/2023
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Heredicine Townsend/S-1TIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Facilities dining room chairs are not in usable condition.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted an initial 10-day complaint visit to investigate the above allegation. LPA was allowed entry by Heredicine Townsend/S-1. LPA explained the purpose of today's visit.

During today's visit, LPA obtained a copy of the client roster, staff roster and interviewed Staff #1 (S-1) and Client #1 (C-1) through Client #3 (C-3) and conducted a tour of the dining area. LPA was unable to interview Client #4 (C-4) as C-4 is non-verbal.

Refer to LIC 9099C for the continuation of this report.

Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023
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-20230313132753
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: 03/21/2023
NARRATIVE
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Allegation: Facilities dining room chairs are not in usable condition. During this visit, LPA conducted a tour of the dining area and observed the chairs to be cushioned and comfortable (pictures taken). Interviewed Clients indicated they do not have any issues with the dining room chairs and that the chairs are comfortable and are not broken. Interviewed staff indicated there are no issues with the dining room chairs. Dining room chairs are in useable condition. LPA observation and interviews do not corroborate this allegation.

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.

Note; LPA was experiencing technical difficulties during this visit.

Exit interview conducted and appeal rights and a copy of this report was provided to Heredicine Townsend
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2