198602031-2-13-2024-28-AS-DSIS-D3PKAG-20240325074351

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602031
Report Date: 02/13/2024
Date Signed: 02/13/2024 12:08:06 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
02/08/2024 and conducted by Evaluator Christine Wong

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240208163236

FACILITY NAME:	TOTAL LIFE CARE, INC - EVOLVE SERVICES		FACILITY NUMBER:	198602031
ADMINISTRATOR:	MONTESINOS, JESSICA		FACILITY TYPE:	775
ADDRESS:	545 EREMLAND DRIVE		TELEPHONE:	(626) 257-3235
CITY:	COVINA	STATE: CA	ZIP CODE:	91723
CAPACITY:	60	CENSUS: 26	DATE:	02/13/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Jessica Montesinos		TIME COMPLETED:	12:40 PM

ALLEGATION(S):

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Client was inappropriately touched by another client while in care.

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 Program Director Jessica Montesinos who allowed entry into the facility and also assisted with the visit.

The investigation consisted of the following: On today's date, LPA interviewed the program director, assistant director, two staff (S1-S2) and three clients (C1, C3 and C4) in the facility and one client (C2) and C1's facility home licensee via telephone. LPA also obtained the client's roster (Month of December, January and February), C1's communication log and ID notes from the day program and incident report from the facility home.

The investigation revealed of the following: Allegation: "Client was inappropriately touched by another client while in care." It's alleged that C1 was touched inappropriately by C2 at the day program but C2 was kept insisting and C1 was afraid to tell C2 to stop. (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: 02/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024

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-20240208163236

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: TOTAL LIFE CARE, INC - EVOLVE SERVICES	FACILITY NUMBER: 198602031
	VISIT DATE: 02/13/2024

NARRATIVE

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LPA interviewed four clients and three out of four clients denied the allegation. Clients reported they never saw any inappropriately touching between clients at the day program. LPA interviewed the staff and denied the allegation and reported they always have staff supervised clients in the room and no clients would ever leave alone in the room by themselves. The staff also reminded clients not to hold hands or hugging even they are boy friend or girl friend as the program is a work place for them. In addition, based on the documents reviewed, C1 was reported the incident was happened on 1/26/2024 and LPA revealed the attendance sheet for C2 and confirmed with the program director that C2 was absent from the day program on 01/26/24. The program director also stated C1 had history of fabrication and making stories due to the behavior of C1.

Based on the interviews conducted with clients and staff and documents reviewed, 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 allegation is UNSUBSTANTIATED.

Exit interview held and a copy of the report was provided to the program director Jessica Montesinos.

NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Christine Wong
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/13/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/13/2024

LIC9099 (FAS) - (06/04)

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