198602405-9-11-2022-11-AS-JHAD-CJPSCP-20220928134552

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602405
Report Date: 09/07/2022
Date Signed: 09/11/2022 08:23:10 AM

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
04/26/2022 and conducted by Evaluator Ana Soto

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20220426094841

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: 61	DATE:	09/07/2022
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Josie Garcia, Assistant Administrator		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Resident was provided illegal drugs while in care.
Resident was not properly supervised while in care.
Resident's personal belongings were not safeguarded.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ana Soto conducted a subsequent complaint investigation for the allegations listed above. Today’s complaint investigation was conducted with Josie Garcia, Assistant administrator.

The investigation consisted of following: Interviews and Record reviews. On 04/27/22, LPA Soto interviewed Kenneth Beck, House Manager, Josie Garcia Assistant Administrator. On 05/12/22, LPA Soto interviewed C#1 – C#8. LPA received the following documents on 04/27/22: Resident Roster, Staff Schedule, Face sheet, client/resident personal property and valuables, ID/Emergency information, Preplacement appraisal information, functional capability assessment, Admission agreement, Physician’s report, House rules, Facility evaluation form, 2 SIR’s dated 10/21/21 & 12/23/21, and 2 pictures of broken windows.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ana Soto
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

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-20220426094841

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: 09/07/2022

NARRATIVE

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Based on the LPA's investigation, the investigation revealed the following. For Allegation 1 – Resident was provided illegal drugs while in care. Interviews with Ken and Josie, both agreed that C1, was at the facility over a year ago. C1 left the facility around December 2021. C1 had broken the room in C1’s room, the facility called the police and the police put a 5150 hold on C1. C1 was taken to the hospital and C1’s family member was informed. The facility did send the SIR dated 12/23/21, to LPA at the time of the incident, where C1 broke the window. Ken, House manager stated that C1 has not been back to the facility for over a year, they were never any reports of any illegal drugs given or found on C1. About 2/3 weeks ago, family member called facility to see if C1 could return to the facility. House manager Ken advised Family member, that it would be better if C1 was put somewhere that had a higher level of care, Family member got upset and threatening Ken. Interviews with C#2 – C#8, they all stated that they have never been offered drugs by staff or any other client. LPA reviewed C1 records, Facility evaluation- dated 06/17/21, and Physician’s report – dated 05/15/20, did not reveal any drugs abuse. There were no previous reports for C1, were they complained or reported C1 being given or offered any drugs by staff or clients. The interviews and records reviewed did not concur with the above allegation.

Allegation 2 - Resident was not properly supervised while in care. Interviews with Ken and Josie, both agreed that C1, was at the facility over a year ago. C1 left the facility around December 2021. They also stated that they never had any complaints from C1 family before about not taking care of C1 properly. Family member was just mad because the facility did not want to accept C1 back. Interviews with C#2 - C#8, stated that they feel they are being supervised and they like the facility. LPA reviewed C1 file, there were no SIR’s that related to any complaints or incident that had to do to with C1 not being properly supervised. The interviews and records reviewed did not concur with the above allegation.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ana Soto
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 3

Control Number 11-AS-20220426094841

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: 09/07/2022

NARRATIVE

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Allegation 3 - Resident's personal belongings were not safeguarded. Interviews with Ken and Josie, both agreed that C1, was at the facility over a year ago. C1 left the facility around December 2021. Ken and Josie both stated that they called C1 family member about C1’s belongings. The facility still has C1’s belongings. They never like throw the clients stuff away. C1’s family member never came to pick it up. Interview with C#2 – C#8, revealed that they have never had their belonging stolen, thrown, or been missing. The staff never takes anything from them. They have all their stuff with them. LPA inspected C1’s belongings, there was 2 pair of pants and 1 polo shirt. LPA had ken call family member to come and pick up C1’s belongings. The interviews and inspections conducted did not concur with the above allegation.

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 Josie Garcia, Assistant Administrator, and a hard copy was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ana Soto
LICENSING EVALUATOR SIGNATURE:	DATE: 09/07/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/07/2022

LIC9099 (FAS) - (06/04)

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