198601672-10-13-2023-28-AS-FFIS-CY34WF-20231129182753

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601672
Report Date: 10/13/2023
Date Signed: 10/13/2023 05:28:06 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
10/06/2023 and conducted by Evaluator Bonnie Tao

COMPLAINT CONTROL NUMBER: 28-AS-20231006162147

FACILITY NAME:	CLAREMONT MANOR		FACILITY NUMBER:	198601672
ADMINISTRATOR:	GREG HIRST		FACILITY TYPE:	740
ADDRESS:	650 W. HARRISON AVE.		TELEPHONE:	(909) 626-1227
CITY:	CLAREMONT	STATE: CA	ZIP CODE:	91711
CAPACITY:	360	CENSUS: 85	DATE:	10/13/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Robert Barton, administrator		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff threatened resident with eviction.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tao conducted an unannounced 10 day complaint visit to this facility. Upon arriving at the facility, LPA met with Robert. LPA explained the purpose of today’s visit and discussed the above-mentioned allegation.

The investigation consisted of resident interviews, staff interviews, facility tours, and review of facility records. LPA obtained resident roster, staff roster, and residents’ facility files.

The investigation revealed the following:
In regard to the allegation, “staff threatened resident with eviction," it was alleged that a resident was given a letter threatening to evict for writing articles about residents and published the articles. Per resident interviews, seven (7) out of ten (10) residents interviewed could not corroborate the allegation. Two (2) out of ten (10) residents were attempted but failed to be interviewed. One (1) out of ten (10) stated resident was threatened with eviction warning after writing about other residents. (-continued in LIC 9099C-)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Bonnie Tao	TELEPHONE: (323) 981-3971
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023

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-20231006162147

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: CLAREMONT MANOR	FACILITY NUMBER: 198601672
	VISIT DATE: 10/13/2023

NARRATIVE

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Resident interviews revealed that staff did not threaten residents for eviction. All seven (7) staff interviewed could not corroborate the allegation. Staff interviews revealed that staff did not threaten resident. File review revealed staff had policy that staff was not allowed to threaten residents. LPA reviewed resident’s letter dated 09/22/23 which resident claimed that letter was threatening to evict resident. The letter stated resident had violated facility policy about disclosing resident privacy in articles and published those in the newspaper without having residents' consent. Administrator attempted to stop resident from publishing articles of other residents without getting their permissions. The consequences of violating residents rights could be eviction per facility policy and resident's agreements. Therefore, staff did not threaten resident with eviction.

Although the allegations 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.

An exit interview was conducted with the Administrator. A hard copy of the report and appeal rights were provided.

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981-3981
LICENSING EVALUATOR NAME: Bonnie Tao	TELEPHONE: (323) 981-3971
LICENSING EVALUATOR SIGNATURE:	DATE: 10/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/13/2023

LIC9099 (FAS) - (06/04)

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