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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602080
Report Date: 03/14/2024
Date Signed: 03/14/2024 03:49:01 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
03/12/2024 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240312142624
FACILITY NAME:HOURGLASS HOMEFACILITY NUMBER:
198602080
ADMINISTRATOR:MARIA BINOTAPAFACILITY TYPE:
735
ADDRESS:1121 HOURGLASS PLACETELEPHONE:
(909) 631-8521
CITY:DIAMOND BARSTATE: CAZIP CODE:
91765
CAPACITY:6CENSUS: 6DATE:
03/14/2024
UNANNOUNCEDTIME BEGAN:
09:09 AM
MET WITH:Isela Gutierrez, StaffTIME COMPLETED:
03:50 PM
ALLEGATION(S):
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1. Staff hit client.
2. Staff pulled client’s hair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation regarding the allegations listed above. LPA arrived unannounced and met with staff, Isela Gutierrez. The purpose of the visit was explained. Administrator, Maria Binotapa, arrived shortly after.

LPA obtained a copy of the staff roster, client roster and reviewed documents pertaining to Client #1 (C-1). Interviews were conducted with the administrator, 4 Staff (S1 - S4), 5 Clients (C1 - C5), and the San Gabriel/Pomona Regional Center personnels.

The investigation revealed the following for allegations – Staff hit client and Staff pulled client’s hair. It is alleged that the Staff #1 (S1) hit Client #1 (C1) in the back and pulled client’s hair on 3/11/24.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024
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 2
Control Number 28-AS-20240312142624
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: HOURGLASS HOME
FACILITY NUMBER: 198602080
VISIT DATE: 03/14/2024
NARRATIVE
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Per administrator Binotapa, she was working with S1 on the day of the alleged incident. Administrator stated there was an altercation between C1 and another client. Staff had to separate the 2 clients to prevent the situation from escalating. Administrator took one client and S1 took the other client to calm them down. Administrator witnessed S1 in the room with the door opened, trying to redirect C1. She did not see any signs of abuse from S1 nor did C1 reported any maltreatment. Administrator stated that she was informed of Staff hitting and pulling the client’s hair the next day. The police officer also came out the same day. She stated the officer spoke with clients at the home and indicated there is no case and is closed.

LPA interviewed 4 other staff and they all stated they would not hit or hurt a client. They understand their clients’ behaviors and only redirect them when necessary. Staff have not observed any bruises or marks on C1. They are mandated reporters and stated they would report if they saw any staff hit a client. They also have never seen any staff pull a client’s hair. Staff indicated that C1 tends to make false statements or fabricate stories.

LPA interviewed 5 Clients. Clients stated staff are good to them. They do not hit them nor pull their hair. C1 disclosed that a lie was made about S1 hitting C1 and pulling the hair earlier this week and was apologetic. C1 was upset because other clients are being mean to C1. Records reviewed showed that C1 is working on reducing the number of false statements or false accusations of people and was confirmed by the regional center service coordinator.

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 Administrator Binotapa. A copy of this report along with the appeal rights were provided.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2