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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601938
Report Date: 04/09/2025
Date Signed: 04/09/2025 02:52:40 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/03/2025 and conducted by Evaluator Perry Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250403105921
FACILITY NAME:BRIGHTER OUTLOOK IIFACILITY NUMBER:
198601938
ADMINISTRATOR:WENDY DE LEONFACILITY TYPE:
775
ADDRESS:2112 E. GLADWICK STREETTELEPHONE:
(310) 631-6360
CITY:RANCHO DOMINGUEZSTATE: CAZIP CODE:
90220
CAPACITY:90CENSUS: 46DATE:
04/09/2025
UNANNOUNCEDTIME BEGAN:
09:24 AM
MET WITH:Wendy De LeonTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff does not ensure facility operates in ratio.
INVESTIGATION FINDINGS:
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On 4/09/25, at 9:25am, the department conducted an initial complaint visit to the facility and was greeted by Wendy De Leon, Administrator. The department explained the purpose of this visit is to gather information about the complaint, gather facility files, interview staff and clients, and deliver findings for the allegations mentioned above.

The investigation consisted of the following: The department investigated the allegation mentioned in this complaint; and conducted interviews with staff (S1-S8) and clients (C1-C7). The department received the following documents: Client Roster (Dated: April 2025), Staff Roster (Dated: 02/18/2025), Incident Report (Dated: 03/07/2025), Client Distribution Chart (Dated: 02/03/2025-04/07/2025), In-Service Trainings for Prevention of Choking and Aspiration, Nutrition, and Choking Prevention Awareness (Dated: 03/28/2024, 09/27/2024, 09/29/2023) and First -Aid/CPR/AED Certificates for staff from the facility.

Continued on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
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 5
Control Number 11-AS-20250403105921
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: BRIGHTER OUTLOOK II
FACILITY NUMBER: 198601938
VISIT DATE: 04/09/2025
NARRATIVE
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The investigation revealed the following: Allegation- Staff does not ensure facility operates in ratio.

The details of the complaint alleged that the day program is short staffed; and the staff to client ratio is five (5) clients to one (1) staff which could lead to health and safety issues for the clients. On 04/09/25, from 9:25am-2:00pm, the department interviewed staff (S1-S8) and clients (C1-C7) regarding the allegation. 5 of 8 staff corroborated the allegation that the Staff does not ensure facility operates in ratio. The majority of staff that were interviewed stated that the day program has had issues with keeping staff and that causes the program to increase the number of clients they must manage. S1 stated they are in the process of hiring additional staff for the day program.

The department reviewed the Client Distribution Chart (Dated: 02/03/2025-04/07/2025) and found that on average the staff to client ratio was one (1) staff to five (5) clients during this period; while the day program’s plan of operations specifies that Brighter Outlook II staff to client ratio should be one (1) staff to three (3) clients.

LPA interviewed clients C1-C7 about the allegation and 4 of 7 clients that were interviewed corroborated the allegation that Staff does not ensure facility operates in ratio. Clients stated that they feel the day program needs more staff to meet the needs of all the clients enrolled in the program.

Based on interviews conducted and records reviewed, the preponderance of evidence standard has been met. Therefore, the above allegation: Staff does not ensure facility operates in ratio, is found to be Substantiated. California Code of Regulations, Title 22, Division (6) and chapter (3) are being cited on the attached LIC 9099D.

Note: *Citations not cleared by the due date will have a $100 fine assessed for each citation until it is cleared. Civil penalties will continue to accrue until Proof of Corrections (POC) is cleared.

Deficiencies are issued and plans of corrections were discussed.



An exit interview was conducted with Wendy De Leon, Administrator, and a copy of this Complaint Investigation Report and appeal rights were provided.

Continued on LIC9099-D
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 11-AS-20250403105921
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: BRIGHTER OUTLOOK II
FACILITY NUMBER: 198601938
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/09/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/16/2025
Section Cited
CCR
82022(a)
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82022(a) Plan of Operation. Each licensee of an adult day program shall have and maintain on file a current, written, definitive plan of operation. This requirement is not met as evidenced by:
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Administrator will ensure staffing ratio to clients is maintained according to their plan of operation. Administrator will develop a written plan on how they will meet the programs staffing ratios as required by regional center and submit it in writing to LPA Perry Scott by POC due date of 04/16/2025 to perry.scott@dss.ca.gov.
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Based on interviews and records reviewed, the administrator did not adhere to the Plan of Operations. This Adult Day Program is a Regional Center funded program and violated their Plan of Operation in that the facilities staff-client ratio is one staff member to three clients. Client distribution charts indicates that from 02/03/2025 through 04/07/2025 the average ratio was one staff member to five clients, which poses a potential Health & Safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 04/09/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/09/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/03/2025 and conducted by Evaluator Perry Scott
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20250403105921

FACILITY NAME:BRIGHTER OUTLOOK IIFACILITY NUMBER:
198601938
ADMINISTRATOR:WENDY DE LEONFACILITY TYPE:
775
ADDRESS:2112 E. GLADWICK STREETTELEPHONE:
(310) 631-6360
CITY:RANCHO DOMINGUEZSTATE: CAZIP CODE:
90220
CAPACITY:90CENSUS: 46DATE:
04/09/2025
UNANNOUNCEDTIME BEGAN:
09:24 AM
MET WITH:Wendy De LeonTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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9
Staff did not seek medical attention in a timely manner.
INVESTIGATION FINDINGS:
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On 4/09/25, at 9:25am, the department conducted an initial complaint visit to the facility and was greeted by Wendy De Leon, Administrator. The department explained the purpose of this visit is to gather information about the complaint, gather facility files, interview staff and clients, and deliver findings for the allegations mentioned above.

The investigation consisted of the following: The department investigated the allegation mentioned in this complaint; and conducted interviews with staff (S1-S8) and clients (C1-C7). The department received the following documents: Client Roster (Dated: April 2025), Staff Roster (Dated: 02/18/2025), Incident Report (Dated: 03/07/2025), Client Distribution Chart (Dated: 02/03/2025-04/07/2025), In-Service Trainings for Prevention of Choking and Aspiration, Nutrition, and Choking Prevention Awareness (Dated: 03/28/2024, 09/27/2024, 09/29/2023) and First -Aid/CPR/AED Certificates for staff from the facility.

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 11-AS-20250403105921
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: BRIGHTER OUTLOOK II
FACILITY NUMBER: 198601938
VISIT DATE: 04/09/2025
NARRATIVE
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Allegation- Staff did not seek medical attention in a timely manner.

The details of the complaint alleged that the facility did not seek medical attention in a timely manner when a client was choking at the day program. On 04/09/25, from 9:25am-2:00pm, the department interviewed staff (S1-S8) and clients (C1-C7) regarding the allegation. 8 of 8 staff denied the allegation that the Staff did not seek medical attention in a timely manner. All staff (S1-S8) stated that no one at Brighter Outlook II has had any issues with choking at the program. S1 stated that the only incident they had at Brighter Outlook II was when a client was about to scratch another client, but the staff caught the client before they could reach the other client.

The department interviewed clients (C1-C7) about the allegation and 7 of 7 clients that were interviewed denied the allegation that Staff did not seek medical attention in a timely manner.
All clients stated that they have never had an issue that needed medical attention from the staff, but was sure they would get them the attention they needed in a timely manner.

The Department reviewed In-Service Training for Prevention of Choking and Aspiration, Nutrition, and Choking Prevention Awareness (Dated: 03/28/2024, 09/27/2024, 09/29/2023) and First -Aid/CPR/AED Certificates for staff and observed that the staff is trained for incidents like this that may happen at the program. The department also observed the Incident Report (Dated: 03/07/2025) and found that it did not involve a client choking.

Based on interviews and records reviewed, there is insufficient evidence to support the allegation that the Staff did not seek medical attention in a timely manner. 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.

No citations were issued.

An exit interview was conducted with Wendy De Leon, Administrator, and a copy of this Complaint Investigation Report and appeal rights were provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Perry Scott
LICENSING EVALUATOR SIGNATURE:

DATE: 04/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/24/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5