198602405-7-18-2022-11-AS-JHAD-CHSPH9-20220830111930

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602405
Report Date: 07/15/2022
Date Signed: 07/18/2022 03:04:17 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/11/2022 and conducted by Evaluator Ana Soto

COMPLAINT CONTROL NUMBER: 11-AS-20220711155219

FACILITY NAME:	ANEW DIRECTION ADULT LIVING		FACILITY NUMBER:	198602405
ADMINISTRATOR:	PATRICIA DUFRENNE		FACILITY TYPE:	735
ADDRESS:	2300 S PACIFIC AVE		TELEPHONE:	(909) 210-0365
CITY:	SAN PEDRO	STATE: CA	ZIP CODE:	90731
CAPACITY:	72	CENSUS: 58	DATE:	07/15/2022
		UNANNOUNCED	TIME BEGAN:	12:35 PM
MET WITH:	Joyce Garcia, Assistant Administrator		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Client attacked another client while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ana Soto conducted a complaint investigation for the allegation listed above. Today’s complaint investigation was conducted with Joyce Garcia, Assistant Administrator

The investigation consisted of following: Interviews and Record reviews. On 07/15/22, LPA Soto interviewed ,, S#1 Joyce Garcia- Assistant Administrator, W#1 Lauren Chavez - Tele-care Case Manager, S#2 Maria Limon - Cook, C#1 – C#6, received the following documents on 07/15/22: Resident Roster, Staff Schedule, Face sheet, Physician’s Report, ID/Emergency Information, Pre-Placement Appraisal, Warning Letter, Mars (June & July 22,) Needs and Services Plan, House Rules, and SIR.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ana Soto
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2022

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 11-AS-20220711155219

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: ANEW DIRECTION ADULT LIVING	FACILITY NUMBER: 198602405
	VISIT DATE: 07/15/2022

NARRATIVE

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Based on the LPA's investigation, the investigation revealed the following:

Allegation – Client attacked another client while in care.
Interviews with staff #1-2, all agreed that the C#1 always argues with C#2. C#1, said the incident happened in the hallway in front of C#1's room. The staff checked the cameras, it only shows that C#2 is outside C#1's room speaking with C#1's and then C#2 walks away. They are always yelling, screaming, and arguing because of jealousy. They asked C#1 if they wanted to press charges on C#2, C#1 declined to press charges. They also agreed that they refuse to stay away from each other, even though they claim they will. Interview with W#1, advised C#1 to end relationship, in order to prevent further incidents. C#1 was issued warning letter, not to continue with this type of unhealthy relationship because facility will no longer tolerate any further incidents of this kind. Interviews with C#1, assured LPA that C#2 did choke C#1, for no reason, C#2 was yelling at C#1, then put C#2’s hand on C#1 neck. C#1 decided not to press charges on C#2 because C#1 still cares about C#2. Interviews with C#2, stated that they were in some kind of debate, but they were not arguing. They were loud yelling, but C#2 never laid hands on C#1. Interviews with C#3, C#5, & C#6, agreed they are always yelling, screaming, and fighting, but they never seen C#2 put their hands-on C#1. LPA reviewed camera footage of the incident, C#2 never physically touch C#2, C#2 only appears speaking with C#1 in front of C#1 room and then C#2 walking away. Interviews and Records reviewed did not concur with the above allegation.

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.

An exit interview was conducted with Kenneth Beck, House Manager and a hard copy was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ana Soto
LICENSING EVALUATOR SIGNATURE:	DATE: 07/15/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/15/2022

LIC9099 (FAS) - (06/04)

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