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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601273
Report Date: 06/16/2025
Date Signed: 06/16/2025 04:22:21 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
06/09/2025 and conducted by Evaluator Nicol Wesley
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250609125440
FACILITY NAME:EASTER SEALS SOUTHERN CALIFORNIA FACULTY HOMEFACILITY NUMBER:
198601273
ADMINISTRATOR:NJOROGE, PRISCILLAHFACILITY TYPE:
735
ADDRESS:11644 FACULTY DRTELEPHONE:
(562) 402-0252
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:3CENSUS: 2DATE:
06/16/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Armando Flores and Daniela TillesTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Staff does not allow resident to shower when requested.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nicol Wesley conducted a 10 day complaint visit at the facility and met with staff Lorena Vasquez and Later Administrator Armando Flores and Director Daniela Tilles arrived and joined the visit.

Investigation consisted of: staff roster, resident roster, shower log, interviewed staff, intervewed resident.
Investigation revealed:
Regarding allegation:Staff does not allow resident to shower when requested. LPA Wesley had a discussion with Staff 1 who gives the residents showers, she said that the resident will request a shower in the morning, and she will get every thing ready then the resident will say I want a baby shower(bed bath). LPA Wesley spoke to the Administrator Flores and the Director Tilles and they informed me that they know about the residents personal rights and she has to have a shower when she feels comfortable receiving it.
Continued on LIC 9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Nicol Wesley
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2025
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 2
Control Number 28-AS-20250609125440
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: EASTER SEALS SOUTHERN CALIFORNIA FACULTY HOME
FACILITY NUMBER: 198601273
VISIT DATE: 06/16/2025
NARRATIVE
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They said that the resident receives showers in the morning, but they wanted to encourage the night shift to give showers as well. The Administrator informed me that the situation occurred with they requested for the night shift staff to also give showers. LPA Wesley conducted a random visit to the facility and resident 1 was receiving a shower. LPA Wesley attempted to interview resident 1 but was not successful.

Based on interviews conducted, and information that was gathered, there is insufficient evidence to support the allegation(s). Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A copy of this report was given to the

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Nicol Wesley
LICENSING EVALUATOR SIGNATURE:

DATE: 06/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/16/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2