198601740-9-7-2021-28-AS-FFIS-C6V2CW-20210914171724

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601740
Report Date: 09/07/2021
Date Signed: 09/07/2021 01:48:17 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
11/15/2019 and conducted by Evaluator Kruz Long

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20191115163656

FACILITY NAME:	QUALITY OF LIFE ACADEMY		FACILITY NUMBER:	198601740
ADMINISTRATOR:	NNAEMEKA EZENAGU		FACILITY TYPE:	775
ADDRESS:	8439 CALIFORNIA AVENUE		TELEPHONE:	(562) 372-4750
CITY:	SOUTH GATE	STATE: CA	ZIP CODE:	90280
CAPACITY:	66	CENSUS: 26	DATE:	09/07/2021
		UNANNOUNCED	TIME BEGAN:	10:30 AM
MET WITH:	Joshua Corzantes (Administrator)		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff failed to prevent altercations between clients while in care.
Staff failed to prevent clients from engaging in harmful behavior.
Facility staff yelled at client(s) in care.
Facility staff pushed client(s) in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Kruz Long conducted an unannounced complaint visit to the Adult Day Program. Upon arrival LPA met with Joshua Corzantes (Administrator) and explained the purpose of the visit.

During today's visit, LPA obtained a copy of the Staff/Client Roster. LPA interviewed Staff #1 to #8 in the Administrator's office between 10:45 am to 11:30 am and interviewed Client #1 to #8 between 11:35 am to 12:15 pm in the Administrator's office.

In regards to the allegation: Staff failed to prevent altercations between clients while in care. Interviews with 8 of 8 staff indicate that staff has never failed to prevent altercations between clients while in care. Interviews with 8 of 8 clients indicate staff has not failed to prevent altercations between clients while in care.

Continue to LIC9099C.......

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kruz Long
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021

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-20191115163656

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: QUALITY OF LIFE ACADEMY	FACILITY NUMBER: 198601740
	VISIT DATE: 09/07/2021

NARRATIVE

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In regards to the allegation: Staff failed to prevent clients from engaging in harmful behavior. Interviews with 8 of 8 staff indicate that staff has never failed to prevent clients from engaging in harmful behavior. Interviews with 8 of 8 clients indicate staff has not failed to prevent clients from engaging in harmful behavior.

In regards to the allegation: Facility staff yelled at client(s) in care. Interviews with 8 of 8 staff indicate that they have not yelled at clients or witnessed other staff yell at clients. Interviews with 8 of 8 clients indicate they have never been yelled at by staff or witnessed staff yell at other clients.

In regards to the allegation: Facility staff pushed client(s) in care. Interviews with 8 of 8 staff indicate that they have not pushed clients or witnessed other staff push clients. Interviews with 8 of 8 clients indicate they have never been pushed or witness staff push other clients.

Based on LPA's interviews, investigation revealed: Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview conducted with Joshua Corzantes and a copy of this report provided.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kruz Long
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2021

LIC9099 (FAS) - (06/04)

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