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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601503
Report Date: 04/16/2024
Date Signed: 04/16/2024 01:42:45 PM

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
04/09/2024 and conducted by Evaluator Christine Wong
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240409130319
FACILITY NAME:NEWPORT HOUSEFACILITY NUMBER:
198601503
ADMINISTRATOR:HARRIS, CYNTHIAFACILITY TYPE:
735
ADDRESS:1852 NEWPORT AVETELEPHONE:
(626) 797-2935
CITY:PASADENASTATE: CAZIP CODE:
91103
CAPACITY:6CENSUS: 6DATE:
04/16/2024
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Maggie Estrella TIME COMPLETED:
02:10 PM
ALLEGATION(S):
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Staff handled client in an inappropriate manner.
Staff spoke to client in an inappropriate manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Wong conducted an initial 10 days complaint visit to ascertain information pertaining to the above-mentioned allegation(s) and to establish the validity of the complaint. LPA met with Staff#1 Maggie Estrella (Designated Person while Administrator was absent) who allowed entry into the facility and assissted with the visit.

The investigation consisted of the following: LPA interviewed two staff (S1-S2) and attempted to interview Client#1 (C1) # Client#3 (C3) in the facility. LPA interviewed administrator, two staff (S3-S4) and Client#2 (C2) via telephone and attempted to interview three clients (C4-C6) via telephone and obtained copy of documents for C1 include face sheet, Indivdiual Program Plan and Physician report.

(See LIC 9099C for continuation)
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Christine Wong
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
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-20240409130319
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: NEWPORT HOUSE
FACILITY NUMBER: 198601503
VISIT DATE: 04/16/2024
NARRATIVE
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The investigation revealed of the following: Allegation#1 "Staff handled client in an inappropriate manner." It's alleged that the facility staff grabbed C1 by the middle of C1's bra. LPA interviewed staff and denied the allegation and reported they had never grabbed or handled clients in an inappropriate manner. Staff reported staff tried to change C1 and unbuttoned C1's bra and put on pajama or other clothes for C1 as C1 was coming back from the day program. Staff stated that C1's bra buttons are in the front. LPA interviewed client and reported never seen staff grabbed or handled clients roughly. Staff are nice to them.

Allegation#2 "Staff spoke to client in an inappropriate manner." It's alleged that the facility staff spoke inappropriately to C1 and said "You need to hurry up and you are too slow." LPA interviewed staff and denied the allegation. They had never seen any staff was being mean or speaking inappropriately to clients. Staff said they only told client "Come on" in a nice way but not in a mean way, it's because sometimes clients walked slowly and they just wanted to encourage them.

Based on the interviews conducted with staff, clients, review of client files and facility records, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

A copy of this report was given to Maggie Estrella, during the exit interview.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Christine Wong
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/16/2024
LIC9099 (FAS) - (06/04)
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