198601211-3-20-2025-11-AS-UCOL-DFFP6M-20250405110235

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601211
Report Date: 03/20/2025
Date Signed: 03/20/2025 12:12:12 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/04/2025 and conducted by Evaluator Regina Cloyd

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20250304095520

FACILITY NAME:	VILLA STANLEY		FACILITY NUMBER:	198601211
ADMINISTRATOR:	NATALIE SINGH		FACILITY TYPE:	735
ADDRESS:	335 N. STANLEY AVE		TELEPHONE:	(323) 937-4856
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90036
CAPACITY:	80	CENSUS: 70	DATE:	03/20/2025
		UNANNOUNCED	TIME BEGAN:	10:05 AM
MET WITH:	Administrator Natalie Neale-Singh		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Staff are not adequately supervising resident in care.
Staff do not answer the facility phone.

INVESTIGATION FINDINGS:

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The investigation consisted of the following:

On 03/07/2025, Licensing Program Analyst (LPA) Regina Cloyd conducted a complaint investigation at the above facility to address the following allegations. CCLD Staff met with Administrator Natalie Neale-Singh and explained the purpose of the visit. LPA conducted resident, staff, and witness interviews and reviewed facility and resident records. On 03/20/25, LPA Cloyd and LPA Jose Anguiano conducted a subsequent complaint and met with the with Administrator Natalie Neale-Singh to test the phones in the facility and interview witnesses.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: Regina Cloyd	TELEPHONE: 323-981-7155
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

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 3

Control Number 11-AS-20250304095520

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: VILLA STANLEY	FACILITY NUMBER: 198601211
	VISIT DATE: 03/20/2025

NARRATIVE

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Regarding the allegation “Staff are not adequately supervising resident in care,” it is being alleged that Client #1 (C1) screams at neighbors and people walking by around 5:30 PM. It is also being alleged that C1 chased a girl at one time.

Record review of the Personnel Report revealed there are two staff members working after 5:30 PM except on Mondays and Fridays. On 03/07/25, the facility census was 71 clients. Three out of five staff interviews, including the Administrator (S1), indicated there is adequate staff coverage. S1 indicated there is not enough work for staff to do after 7:00 PM. On 03/20/25, S1 indicated that the facility does not have clients who needs assistance all activities of daily living, transfers, nor incontinent care. Two out of five client interviews (C1 – C4, C6), including C1, indicated there is adequate supervision. Four out of six staff interviews (S1 – S3, S5-S7), indicated they have not witnessed C1 yell at neighbors. S1 indicated the facility has clients with mental illness so they may talk to themselves. S1 indicated C1 primarily speaks to self and this is C1’s home. Five out of six client interviews indicated they have not witnessed C1 yell at neighbors. C1 denied the allegations and indicated that C1 sings to self. Witness #1 (W1) indicated that the act of yelling is connected with C1’s diagnosis and it is difficult to stop or manage. W1 indicated that W1 has spoken with staff about speaking with C1 calmly. Five out of five client interviews (C1, C3, C4 – C6) indicated they have not witnessed C1 chase a girl. Six out of six staff interviews (S1 – S3, S5-S7) indicated they have not witnessed C1 chase a girl. On 03/20/25, two out of three witnesses indicated they do not have any neighborhood safety concerns. Witness #2 (W2) indicated that C1 comes near the all-girls school when they are outside and sings to self but the lyrics are weird. W2 indicated that W2 has not witness C1 chase a girl but heard once incident of C1 following some of the girls.

Regarding the allegation “Staff are not adequately supervising resident in care," based on record reviews and interviews, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated.

No deficiency was cited for this allegation.

Continue to LIC9099-C.

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: Regina Cloyd	TELEPHONE: 323-981-7155
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 11-AS-20250304095520

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: VILLA STANLEY	FACILITY NUMBER: 198601211
	VISIT DATE: 03/20/2025

NARRATIVE

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Allegation:

Regarding the allegation "Staff do not answer the facility phone,” it is being alleged that the Reporting Party (RP) called the facility four times regarding Client #1 (C1) screaming but no one answered.

Record review of the Personnel Report revealed there are two staff members working after 5:30 PM except on Mondays and Fridays. Five out of five staff interviews, including the Administrator (S1), indicated staff answers the phone in the evening. S1 indicated that the facility has an old phone system that contains two numbers. When staff is on a call, the second line will ring. S1 indicated the facility does not have voicemail or caller id. Staff #2 and Staff #3 indicated they answer the phones in the evening. Three out of three client interviews indicated that staff answers the phone. One client indicated staff answers the phone sometimes. C1 decline to answer the question. On 03/20/25, LPAs tested the common phones in the facility (front office, kitchen area, and on the second floor) and staff answered from the front office. All phones work but the phone near the kitchen only lights up (no sound).

Regarding the allegation “Staff do not answer the facility phone," based on record reviews, interviews, and observations, the Department found no evidence to support the allegation mentioned above. 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, as a result, the allegation is Unsubstantiated.

No deficiency was cited for this allegation.

An exit interview was conducted and a copy of this report was provided to Administrator Natalie Neale-Singh.

SUPERVISOR'S NAME: Ulysses Coronel	TELEPHONE: (323) 400-7397
LICENSING EVALUATOR NAME: Regina Cloyd	TELEPHONE: 323-981-7155
LICENSING EVALUATOR SIGNATURE:	DATE: 03/20/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/20/2025

LIC9099 (FAS) - (06/04)

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