198601371-11-27-2023-11-AS-MVAO-CZJVWP-20240116154812

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601371
Report Date: 11/27/2023
Date Signed: 11/27/2023 11:06:12 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/17/2023 and conducted by Evaluator Wendy Gibbs

COMPLAINT CONTROL NUMBER: 11-AS-20231017144403

FACILITY NAME:	COLE VOCATIONAL SERVICES TORRANCE		FACILITY NUMBER:	198601371
ADMINISTRATOR:	TOTTEN, KIMBERLY		FACILITY TYPE:	775
ADDRESS:	4236 ARTESIA BLVD		TELEPHONE:	(310) 370-3700
CITY:	TORRANCE	STATE: CA	ZIP CODE:	90504
CAPACITY:	30	CENSUS: 17	DATE:	11/27/2023
		UNANNOUNCED	TIME BEGAN:	10:11 AM
MET WITH:	Sina Akai		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Resident sustained injury due to staff neglect

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 11/27/23, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced visit to the facility listed above to deliver findings for the above complaint. LPA met with Administrator, Sina Akai, and explained the purpose of today’s visit.

On 10/26/23, LPA initiated a complaint investigation. During the visit LPA toured the facility, interviewed staff (S1-S3), interviewed clients (C1, C3, C4 and C5), received and reviewed documents pertinent to the investigation. Documents received include the Client Roster, Staff Roster, Client's Harbor Regional Center Annual Review, Client's Behavior Summary Support Plan, Client's Action Summary Plan, Client's Face Sheet, and Physicians Report.

Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023

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 11-AS-20231017144403

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: COLE VOCATIONAL SERVICES TORRANCE	FACILITY NUMBER: 198601371
	VISIT DATE: 11/27/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

The investigation revealed the following:

Allegation: Resident sustained injury due to staff neglect.

The allegation alleges that while C2 was agitated they walked into the room and pushed a chair over with C1 in it, resulting in C1 being injured.

During the tour LPA observed clients were in small groups with a staff. All groups consisted of three (3) clients and a staff, keeping their ratio 3 to 1. Additionally, LPA observed two (2) floater staff available to assist clients to the restroom or to provide monitoring if a client needs to step away from group activities. During an interview with Administrator (S1), stated they are a hands-free facility. They do not hold the client’s hand to guide them and they do not restrain clients in any way when they are experiencing a maladaptive behavior. During interviews with staff (S1-S3), three out of three stated that C2 was exhibiting maladaptive behaviors when they arrived through till they left for the day. Additionally, Staff (S1-S3) stated that when C2 ran from staff into the activity room, S2 ran in after C2 and redirected them to where their their father was waiting for an early pick-up. Interviews with Clients (C1 and C5) two out of two stated they feel safe when they attend program. LPA reviewed C2’s Individual Program Plan (IPP), Behavior Plan and SIR’s and observed that staff followed the behavior plan for C2.

Although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies were observed or cited.

An exit interview was conducted with Sina Akai, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2