198601928-10-17-2024-28-AS-TVAO-DAASSW-20241022140837

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601928
Report Date: 10/17/2024
Date Signed: 10/17/2024 01:08:59 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 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
09/16/2024 and conducted by Evaluator Christian Gutierrez

COMPLAINT CONTROL NUMBER: 28-AS-20240916141445

FACILITY NAME:	FLAGSHIP @ YALETON		FACILITY NUMBER:	198601928
ADMINISTRATOR:	MAGEE, LORING		FACILITY TYPE:	735
ADDRESS:	206 N YALETON AVE		TELEPHONE:	(626) 502-1250
CITY:	WEST COVINA	STATE: CA	ZIP CODE:	91790
CAPACITY:	4	CENSUS: 4	DATE:	10/17/2024
		ANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Morris Jones DSP		TIME COMPLETED:	01:20 PM

ALLEGATION(S):

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Client sustained unexplained injuries while in care
Staff mismanaged client's P&I monies
Adequate amounts of perishable foods are not maintained at the facility
Clients in care are served expired foods
Staff mismanaged client's medication
Staff do not ensure adequate supervision is provided to clients in care
Staff do not ensure toilet paper is readably accessible to clients in care

INVESTIGATION FINDINGS:

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LPA Christian Gutierrez conducted a subsequent complaint visit in regard to the allegations listed above. LPA met with DSP worker Morris Jones and explained the purpose of the visit, Administrator Loring Magee was notified of the visit by phone.

The investigation consisted of the following: During the initial visit conducted on 09/24/2024, LPA Gutierrez interviewed Administrator, Staff #2 (S2), Client #1 (C1), toured the facility, checked Personal and Incidental (P&I) money, and medication check. LPA also obtained copies of the following documents: staff roster, client roster, C1’s and Client #2’s (C2) Individual Program Plan (IPP) report/ Behavior report, and Medication Administrator Record (MAR) log. LPA interviewed one additional staff by phone on 10/11/2024.

SEE LIC 9099C

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Christian Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

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-20240916141445

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: FLAGSHIP @ YALETON	FACILITY NUMBER: 198601928
	VISIT DATE: 10/17/2024

NARRATIVE

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In regard to the allegation that “Client sustained unexplained injuries while in care,” It is alleged that C1 was using the restroom and C2 became aggressive and caused scratches to C1 for taking to long in the restroom. During interviews with staff none of the staff corroborated the allegation. S1 stated that both C1 and C2 are nonverbal and have behavioral issues. S1 states C1 has self-injurious behavior, and staff is doing body checks and keeping a log. S2 states that both C1 and C2 fight with each other usually because of the restroom but now there is staff on each side of the house. Interview with C3 reveled that C3 feels safe at home.

In regard to the allegation that “Staff mismanaged client's P&I monies” It is alleged that Administrator is stealing clients P&I money. During interviews with staff none of the staff corroborated the allegation. S1 states that all money is kept in locked cabinet with receipts attached. S1 is in charge of P&I money. During visit LPA Gutierrez reviewed log and counted all money for all clients and no discrepancies were found.LPA attempted interviews with clients.C1 and C2 are non-verbal. C3 has limited speech and would not have knowledge about money.

In regard to the allegations that “Adequate amounts of perishable foods are not maintained at the facility” and “Clients in care are served expired foods”, It is alleged that two-day perishable food amounts are not maintained at the facility and staff have to buy food for the clients and administrator keeps expired foods in the refrigerator for Clients to eat. During interviews with staff and clients none of the interviews corroborated the allegation. S1 states that they are in charge of monthly shopping and S2 does weekly shopping. S2 states that they always have fresh food, and that pizza is sometimes purchased with own money but that is by choice. Interview with staff over the phone reveled that food is always at the facility and staff does sometimes bring fresh cooked meals from home as a treat for clients. C3 stated food was good and that there is enough. LPA observed two-day perishable food in kitchen refrigerator and in extra refrigerator in garage LPA also checked dates for both perishable and nonperishable food. LPA attempted interviews with clients C1 and C2 both are non-verbal.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Christian Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20240916141445

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: FLAGSHIP @ YALETON	FACILITY NUMBER: 198601928
	VISIT DATE: 10/17/2024

NARRATIVE

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In regard to the allegations that “Staff mismanaged client's medication,” It is alleged that medication logs are altered to hide missed medications. During interviews with staff none of the staff corroborated the allegation. Three (3) out three (3) staff interviewed stated there has never been any issues with medications and they all are trained a use the MAR log. LPA reviewed medication that is centrally stored and locked in cabinet and found no discrepancies.

In regard to the allegations that “Staff do not ensure adequate supervision is provided to clients in care,” It is alleged that,” facility staff sometimes work double shifts and sleep at the facility. During interviews with staff none of the staff corroborated the allegation. S2 stated they hired three new staff and if any doubles are done its by choice for overtime. Staff interviewed over the phone stated there is always enough staff and there is night staff but are working not sleeping. C3 has limited speech and would not have knowledge about staffing.

In regard to the allegations that” Staff do not ensure toilet paper is readably accessible to clients in care,” It is alleged that administrator locks away the toilet paper and is not accessible to staff or clients. During interviews with staff and clients none of the interviews corroborated the allegation. S1 stated there is always toilet paper and if anything is running out, they just ask, and S1 will go purchase the item. S2 stated that no toilet paper is left in bathroom #2 because C1 will flush or eat the paper instead it is left in cabinet in hallway. C3 stated that there is always toilet paper. LPA toured facility and observed adequate supply of toilet paper in hallway cabinet, bathroom #1, and garage. LPA also reviewed C1’s IPP report and it indicated C1 has a behavior where C1 eats uneatable objects.

Based on interviews conducted and records reviewed, there is insufficient evidence to support the allegations. 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.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Christian Gutierrez
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

LIC9099 (FAS) - (06/04)

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