198601273-10-2-2025-28-AS-LHIS-DM7MY9-20251006100109

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601273
Report Date: 10/02/2025
Date Signed: 10/02/2025 11:04:09 AM

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
06/09/2025 and conducted by Evaluator Tena Herrera

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250609125440

FACILITY NAME:	EASTER SEALS SOUTHERN CALIFORNIA FACULTY HOME		FACILITY NUMBER:	198601273
ADMINISTRATOR:	NJOROGE, PRISCILLAH		FACILITY TYPE:	735
ADDRESS:	11644 FACULTY DR		TELEPHONE:	(562) 402-0252
CITY:	NORWALK	STATE: CA	ZIP CODE:	90650
CAPACITY:	3	CENSUS: 2	DATE:	10/02/2025
		UNANNOUNCED	TIME BEGAN:	09:23 AM
MET WITH:	Lorena Vasquez – DSP		TIME COMPLETED:	11:05 AM

ALLEGATION(S):

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Staff does not allow resident to shower when requested.

INVESTIGATION FINDINGS:

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*** this report supersedes report dated 06/16/25, reason is to include additional information. There are no changes to the findings, which remain unsubstantiated ***
Licensing Program Analyst (LPA) Tena Herrera conducted a subsequent visit to investigate the above allegation. LPA met with Lorena Vasquez and discussed the purpose of today's visit.

The investigation consisted of the following:
On 6/16/25 LPA Wesely conducted initial visit obtained copies of staff roster, resident roster, shower log, interviewed staff, intervewed client. On 9/30/25 LPA Herrera conducted a subsequent visit and obtained copies of staff and client rosters, toured facility and checked for hygiene supplies, LPA interviewed 4 staff (S1-S4). Dunring todays visit 10/2/25 LPA interviewed 1 Staff and 1 Client (C1) and delivered findings.

(continued on the LIC9099-C page)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

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-20250609125440

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: EASTER SEALS SOUTHERN CALIFORNIA FACULTY HOME	FACILITY NUMBER: 198601273
	VISIT DATE: 10/02/2025

NARRATIVE

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The investigation revealed the following:
Allegation: Staff does not allow resident to shower when requested.
It is alleged that staff are not allowing C1 to shower when they want to and are being limited to shower in the evenings when C1 prefers mornings. During visit dated 9/30/25 LPA toured facility and there appeared to be sufficient hygiene supplies. During visit dated 10/2/25 LPA observed C1 being assisted with a shower and by 10am client was clean, well-groomed with clean clothing. During interview C1 stated that they shower when they want and just finished taking a shower. C2 was not able to be interviewed due to limited verbal communication, LPA observed C2 to be clean, well-groomed with clean clothing. LPA interviewed 5 Staff and 4 out of 5 staff denied the above allegation. Interviews with S1-S3 each stated that C1 sometimes denies morning showers, therefore, evening showers were being encouraged. S2 and S3 stated that although the showers were being encouraged in the evening, this was only asked of staff so that the clients that would refuse showers in the morning would not go without a shower.

Based on statements and interviews conducted with staff/clients, tour of facility and LPA observations, there was not enough supportive evidence to concur with the reported allegation. 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, therefore the allegation is UNSUBSTANTIATED. Exit interview held, and a copy of this report was emailed to Administrator Armando.

SUPERVISORS NAME: David Sicairos
LICENSING EVALUATOR NAME: Tena Herrera
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

LIC9099 (FAS) - (06/04)

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