198602080-5-15-2025-28-AS-FFIS-DHPP3F-20250616105730

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602080
Report Date: 05/15/2025
Date Signed: 05/15/2025 04:31:22 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
04/22/2025 and conducted by Evaluator Cynthia D Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250422124028

FACILITY NAME:	HOURGLASS HOME		FACILITY NUMBER:	198602080
ADMINISTRATOR:	MARIA BINOTAPA		FACILITY TYPE:	735
ADDRESS:	1121 HOURGLASS PLACE		TELEPHONE:	(909) 631-8521
CITY:	DIAMOND BAR	STATE: CA	ZIP CODE:	91765
CAPACITY:	6	CENSUS: 6	DATE:	05/15/2025
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Isela Gutierrez, Staff		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Client sustained brusing and scratches from staff.
Staff bit client.
Staff retaliated against client.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to continue the investigation for the above allegations. LPA met with Staff, Isela Gutierrez, and explained the purpose of the visit.

On 4/23/25, LPA Chan conducted a health and safety check. There were no concerns noted. LPA obtained copies of documents for Client #1 and interviewed a staff. During the visit today, LPA interviewed additional 3 Staff and 4 Clients.

The investigation revealed the following:
Allegations - Client sustained bruising and scratches from staff and Staff bit client. It is alleged that Staff #1 (S1) held Client #1 (C1) down on the ground and put their knee on client’s side, which caused the scratch on the face. It is also alleged that Staff #1 bit Client #1’s hand, causing a green bruise near the knuckle.

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: 05/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025

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-20250422124028

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: 05/15/2025

NARRATIVE

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LPA interviewed Staff #1 - #5. S1 denied pinning C1 to the ground or biting the client. Two other staff who witnessed the incident stated S1 did not bite, scratch, or hold the client down. They observed C1 attacking S1, and they both fell to the ground while in the living room. The client also pulled S1’s necklace and broke it. Staff #2 tried to intervene and was kicked by the Client. They did not restrain the client and only used verbal redirection with them. The local police officer visited the facility and interviewed C1 on 4/21/25. They did not not suspect any abuse from staff. According to the facility notes, after the officer left, C1 was apologetic to staff for fabricating the stories. Other staff interviewed have not observed or heard about a staff causing harm to a client. LPA interviewed 4 clients. C1 confirmed that staff did not bite or hold the client down. The other 3 clients interviewed stated they saw C1 attacking S1, but the staff did not touch the client. They stated staff do not harm them in any way and like living at the facility.
LPA reviewed C1’s Positive Support Plans 2024 and the Second Quarter Behavioral Services Report, and both indicated the client exhibited behaviors of fabricating stories.
The San Gabriel/Pomona Regional Center also investigated these allegations and did not substantiate on physical abuse.

Allegation - Staff retaliated against the client. It is alleged that Client #1 (C1) was not given an Easter basket or allowed to go out for dinner as a result of the aggressive behavior. LPA interviewed Staff #1 - #5, who stated they do not retaliate against the clients. They treat them fairly and do not punish them for exhibiting behaviors. All the clients were given an Easter basket. They do not exclude any clients from going on outings. The clients are given an option of whether they want to go out to dinner. 3 out of 4 clients interviewed stated that they do not feel staff retaliate against them. They feel that staff support them when they engage in their behaviors and are treated with respect.

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 the administrator. A copy of this report, along with the appeal rights, was provided.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2025

LIC9099 (FAS) - (06/04)

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