198601069-10-12-2023-28-AS-TVAO-CWSUW7-20231020155618

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601069
Report Date: 10/12/2023
Date Signed: 10/12/2023 01:51:30 PM

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
10/09/2023 and conducted by Evaluator Mary G Flores

COMPLAINT CONTROL NUMBER: 28-AS-20231009090243

FACILITY NAME:	BONNIE'S GUEST HOUSE INC.		FACILITY NUMBER:	198601069
ADMINISTRATOR:	ALVARADO, DESIREE		FACILITY TYPE:	735
ADDRESS:	135 NORTH BONNIE AVENUE		TELEPHONE:	(626) 440-0494
CITY:	PASADENA	STATE: CA	ZIP CODE:	91106
CAPACITY:	14	CENSUS: 11	DATE:	10/12/2023
		UNANNOUNCED	TIME BEGAN:	12:27 PM
MET WITH:	Marlene Urquilla - House Manager		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

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Staff are not ensuring that residents smoke in designated smoking area at the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mary Flores conducted an unannounced complaint investigation visit at the facility regarding the above allegation. LPA met with Marlene Urquilla and explained the reason for the visit.

The investigation consisted of the following: LPA Flores requested a copy of staff/client roster. Interviewed 2 staff and 3 clients. Administrator was interviewed over the phone. LPA attempted to interview neighbors. LPA observed smoking area and tour the facility.

The investigation revealed the following: Regarding allegation: Staff are not ensuring that residents smoke in designated smoking area at the facility. It is alleged clients are not smoking in the backyard and smoking at the curb. Interviews conducted revealed 3 out of 3 clients stated the smoking policy is to smoke in the street in front of the house while walking back and forward.

(CONTINUED ON LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023

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-20231009090243

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: BONNIE'S GUEST HOUSE INC.	FACILITY NUMBER: 198601069
	VISIT DATE: 10/12/2023

NARRATIVE

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Per clients interviewed, clients residing at the facility are following smoking rules. Interviews with staff revealed 2 out of 2 staff stated the facility has smoking rules and the clients mostly smoke in front of the house in the sidewalk while walking back and forward. LPA attempted to interview neighbors to the left and right of the house and was unable to interview any of the neighbors. Administrator stated that within the past two months a homeless individual has come to the facility claiming to have leave at the facility prior to 2008. This individual attempts to break into the house. Administrator has observed video footage in which is observed smoking in the backyard or front porch in the middle of the night. Administrator and clients have called the police department during those incidents. During the visit LPA observed sign in front of the house on the grass area regarding smoking policy. Between 12:24pm to 1:24pm LPA observed three clients come to the front of the house and smoke in the sidewalk. The sidewalk is at least over 20 ft away from the facility’s porch and the building to the left or right are further away from the area in which the clients smoke. LPA observed the facility and did not notice smell of smoke inside the facility. Per Pasadena’s Smoking Ordinance there is no smoking in common areas in a multi-living home/facility. Smoking is to be 20 feet away from any doorway, window, or vent. Unless while passing by. Based on observation and Pasadena’s ordinance the clients are following the smoking ordinance of the city.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Marlene Urquilla and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/12/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023

LIC9099 (FAS) - (06/04)

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