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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600692
Report Date: 09/05/2024
Date Signed: 09/05/2024 02:51:26 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
08/26/2024 and conducted by Evaluator Nune Margaryan
COMPLAINT CONTROL NUMBER: 28-AS-20240826101316
FACILITY NAME:GUIDING LIGHT HOME 2FACILITY NUMBER:
198600692
ADMINISTRATOR:PASCASIO, ZONEL E.FACILITY TYPE:
735
ADDRESS:4828 CUTLER AVENUETELEPHONE:
(626) 814-4783
CITY:BALDWIN PARKSTATE: CAZIP CODE:
91706
CAPACITY:5CENSUS: 5DATE:
09/05/2024
UNANNOUNCEDTIME BEGAN:
10:50 AM
MET WITH:Renato ReyesTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff do not ensure clients are spoken to in an appropriate manner.
Staff displays inappropriate behavior while in the presence of clients.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced initial 10-day Complaint visit to the facility and met with Renato Reyes. Shortly after Administrator Pascasio Tony, Zonel arrived. LPA explained the purpose of the visit.

The investigation consisted of the following: LPA Nune Margaryan requested and obtained copies of Staff and Clients Roster, obtained copies of C1's Face sheet, Individual Behavioral Support Plan (IBSP) report, Individualized Program Plan (IPP), Physician's Report, Special Incident Reports (SIRs) dated 08/25/24 and 08/26/24, Staff notes. LPA interviewed Administrator, Staff 1 - Staff 2 (S1 - S2), Client 1(C1) and Placement Agency Quality Assurance Specialist (QA). LPA was unable to interview Clent 2 - Client 5 (C2- C5). C3-C5 were at the Day Program and C2 was sleeping. S2 was interviewed over the phone.
Continue 9099C
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Nune Margaryan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
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-20240826101316
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: GUIDING LIGHT HOME 2
FACILITY NUMBER: 198600692
VISIT DATE: 09/05/2024
NARRATIVE
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Allegations: Staff do not ensure clients are spoken to in an appropriate manner and Staff displays inappropriate behavior while in the presence of clients. It was alleged that C1 was verbally abused by the S1, S1 use inappropriate language toward C1 and S1 not dress appropriately at the facility and wears revealing clothing that accentuates S1 body parts and S1 shakes their body parts when walks by C1.

Interviewed Administrator and staff denied the allegations. They stated that have not heard any staff speaking inappropriately toward clients and staff never wear anything inappropriately while at work. Staff always talk to clients with respect and dignity. They never use F* or B* words or anything inappropriate towards the clients. They stated that clients often used inappropriate language towards staff. Interviewed S1 stated, he/she dress appropriately at the facility. He/ she never wears revealing clothing that accentuates his/her body parts and never shakes their party parts when walks by C1 or other clients. Interviewed QA stated that C1 has a history of fabricating stories and C1 is currently receiving behavioral services where the behaviors of false statements and inappropriate behavior are being tracked. Per Administrator and staff interviews, C1’s behavior of fabricating stories is being monitored, recorded, and reported to C1’s behaviorist. During interview with C1, C1 did not indicate that S1 or other staff used inappropriate language against him/her and didn't indicate that any staff wears inappropriate clothing and showing their body parts. C1 stated he/she often use inappropriate language when he/she upset. Per C1's Regional Center IPP report and per IBSP report, it stated that C1 has a history of fabricating stories, use profane language, often make inappropriate comments about or towards staff when staff provide redirection regarding C1's inappropriate verbal sexual communication toward female staff. Interviews conducted and documentation reviewed revealed that C1 has a history of fabricating stories / statements. C1 provides inaccurate information regarding actions or behaviors of clients and staff as well as daily events. False allegations are defended as C1 habitually lying about incidents that have taken place or making accusations about clients / staff. Interviews and documentation reviewed do not corroborate this allegation.

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.



An exit interview was conducted with Administrator and copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Nune Margaryan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2