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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198600750
Report Date: 07/18/2024
Date Signed: 07/18/2024 04:38:37 PM

Substantiated


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
07/11/2024 and conducted by Evaluator Bonnie Tao
COMPLAINT CONTROL NUMBER: 28-AS-20240711143751
FACILITY NAME:TOUCHING LIVES HOMES 2FACILITY NUMBER:
198600750
ADMINISTRATOR:JONATHAN TOMINESFACILITY TYPE:
735
ADDRESS:5333 EDNA STREETTELEPHONE:
(323) 223-2750
CITY:LOS ANGELESSTATE: CAZIP CODE:
90032
CAPACITY:4CENSUS: 4DATE:
07/18/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Staff#1, lead staff / caregiverTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Administrator is not adequately trained/qualified.
Facility failed to train staff adequately.
Facility falsified staff training records.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tao conducted an unannounced complaint investigation for the allegation listed above today. During today’s visit, LPA met with staff#1, lead staff/ caregiver, and spoke with Omar, administrator and explained the purpose of today's visit.

Investigation consisted of the following: interviews of staff from staff #1 (S1) through staff #4 (S4); interviews of clients from client#1 (C1) to client#4 (C4); review of staff records and training records; and physical plant of the facility. LPA obtained copies of staff and client rosters, and staff files with relevant information.

The investigation revealed of the following:

In regard to allegation of administrator is not adequately trained/qualified, it was alleged that the administrator was lack of ability to provide proper training to staff per Title 22 regulations.
(-continued on LIC 9099C-)
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Bonnie Tao
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
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 4
Control Number 28-AS-20240711143751
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: TOUCHING LIVES HOMES 2
FACILITY NUMBER: 198600750
VISIT DATE: 07/18/2024
NARRATIVE
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LPA interviewed clients, all four (4) clients interviewed stated they did not have knowledge about the allegation. All four (4) staff interviewed were corroborated the allegation. Per staff interviews, staff revealed facility did not provide proper annual in- service training to the current staff. Per file review, it revealed that staff had sign in for training; however, staff showed they could not recollect the training materials and had discrepancies on the information as claimed in the records. Thus, administrator did not provide training to staff per regulations which may due to lack of ability and qualification.

In regard to allegation of facility failed to train staff adequately, it was alleged that staff were not proper trained per Title 22 regulations. LPA interviewed clients, all four (4) clients interviewed stated they did not have knowledge about the allegation. All four (4) staff interviewed were corroborated the allegation. As mentioned above, staff interviews revealed facility did not provide proper annual in- service training to the current staff. Staff could not recollect the training materials and had discrepancies on the information as claimed in the records. Thus, facility failed to train staff adequately.

In regard to allegation of facility falsified staff training records, it was alleged facility created staff’s training documents which training were not conducted. LPA interviewed clients, all four (4) clients interviewed stated they did not have knowledge about the allegation. All four (4) staff interviewed were corroborated the allegation. Per file review, it revealed that staff had sign in for training; however, staff could not confirm whether the training was conducted as claimed in the records. Thus, facility falsified staff training records.

Based on LPA's observations, record reviews and interviews conducted the preponderance of evidence standard has been met, therefore the above allegation is found SUBSTANTIATED.

Deficiencies are being cited according to California Code of Regulations, Title 22, Division 6, Chapter 8 on LIC 9099D.

An exit interview was conducted with Staff#2, lead staff. A hard copy of this reports and appeal right were provided.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Bonnie Tao
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 28-AS-20240711143751
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: TOUCHING LIVES HOMES 2
FACILITY NUMBER: 198600750
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/25/2024
Section Cited
CCR
80064(a)(3)
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Administrator - Qualifications and Duties
(a) The administrator shall have the (3) Knowledge of and ability to comply with applicable law and regulation.

This requirement was not met by evidence of:
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Licensee agreed to review Title 22 Regulations, Section 80064 and submit a written plan detailing how administrator will ensure that staff are receiving the required in-service trainings according to the Regulation by POC due date.
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Administrator did not provide proper training to staff which may due to lack of ability to conduct training.
Based on interviews and observation, the Administrator did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
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Type B
07/25/2024
Section Cited
CCR
80065(f)
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Personnel Requirements
(f) All personnel shall be given on-the-job training or shall have related experience which provides knowledge of and skill...

This requirement was not met by evidence of:
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Licensee agreed to review Title 22 Regulations, Section 80065 and submit a written plan detailing how administrator will ensure that staff are receiving the required in-service trainings according to the Regulation by POC due date.
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Administrator failed to provide on-the-job training for knowledge and skills to staff.
Based on interviews and observation, the Administrator did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Bonnie Tao
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 28-AS-20240711143751
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: TOUCHING LIVES HOMES 2
FACILITY NUMBER: 198600750
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/25/2024
Section Cited
CCR
80012(a)
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False Claims (a) No licensee, officer, or employee of a licensee shall make or disseminate any false or misleading statement regarding the facility or any of the services provided by the facility.

This requirement was not met by evidence of:
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Licensee agreed to review Title 22 Regulations, Section 80012 and submit a written plan detailing how administrator will ensure that the facility would in compliance with the in-service trainings and training records according to the Regulation by POC due date.
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Licensee made false claims on staff training.
Based on interviews and observation, the Administrator did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Bonnie Tao
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4