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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601492
Report Date: 09/17/2021
Date Signed: 09/17/2021 03:32:32 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
03/06/2020 and conducted by Evaluator Tony Vasallo
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20200306151600
FACILITY NAME:BEGINNINGSFACILITY NUMBER:
198601492
ADMINISTRATOR:HOLLAND, TRAVISFACILITY TYPE:
735
ADDRESS:1112 BASELINE RDTELEPHONE:
(909) 305-0250
CITY:LA VERNESTATE: CAZIP CODE:
91750
CAPACITY:3CENSUS: 0DATE:
09/17/2021
UNANNOUNCEDTIME BEGAN:
03:19 PM
MET WITH:Gerardo Cortez, DSPTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Staff physically abused resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst’s (LPA’s) Vasallo and Mora conducted a subsequent complaint visit to deliver findings for the allegation listed above. LPA’s met with Gerardo Cortez and explained the reason for the visit. The initial complaint visit was conducted by LPA Rivas on 3/18/20.

The investigation consisted of the following: Interviews were conducted with four facility staff, Client #1’s (C1’s) family, representatives from San Gabriel/Pomona Regional Center (SGPRC) and police officer from La Verne Police Department. The investigation report from SGPRC was also obtained and reviewed.

The investigation revealed the following: It’s alleged that on or about 3/2/20 C1 was observed with a mark on the chest while staff were assisting C1 with a shower. Three of the facility staff that had contact with C1 were suspended pending an investigation. The police department investigated the incident and closed the case due to insufficient evidence of physical abuse. SGPRC’s report indicates ten facility staff were interviewed. C1’s facility file was reviewed including the Individual Program Plan (IPP), client notes, body check forms, and facility staff time sheets. Continued on 9099C.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Tony Vasallo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2021
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-20200306151600
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: BEGINNINGS
FACILITY NUMBER: 198601492
VISIT DATE: 09/17/2021
NARRATIVE
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 SGPRC’s report did not find evidence of physical abuse. SGPRC did not interview C1 due to cognitive impairment. Interviews conducted by our department also did not render any evidence of physical abuse. There were no witnesses to the allegation. The facility does not have any cameras and staff working on or about 3/2/20 did not observe any physical abuse.

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. A copy of the report was provided.

NOTE: This facility is currently empty. It has no clients or staff. LPA's delivered findings for the report at Forestdale-Nextstep 198600133. Administrator, Yvette Ramirez was called and notified of the findings.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Tony Vasallo
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/17/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/17/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2