198602422-9-15-2023-28-AS-TVAO-CVTRUT-20230919132028

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602422
Report Date: 09/15/2023
Date Signed: 09/15/2023 10:38:05 AM

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
07/17/2023 and conducted by Evaluator Cynthia D Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20230717152650

FACILITY NAME:	PEOPLE'S CARE VIOLA		FACILITY NUMBER:	198602422
ADMINISTRATOR:	HUENDY MORA		FACILITY TYPE:	737
ADDRESS:	1605 VIOLA PL		TELEPHONE:	(909) 671-4184
CITY:	POMONA	STATE: CA	ZIP CODE:	91768
CAPACITY:	3	CENSUS: 3	DATE:	09/15/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Marc Marquez, RBT Staff		TIME COMPLETED:	10:50 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff verbally and physically abused client in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent complaint visit to deliver findings for the allegation listed above. LPA met with Staff, Marc Marquez, and provided the reason for the visit.

The investigation consisted of the following:
On 7/21/23, LPA Chan conducted the initial visit and obtained copies of the staff weekly schedule, Face Sheets for 3 Clients, and Client #1's annual IPP report. LPA also interviewed the administrator via telephone and 4 staff during that date of visit. LPA interviewed an additional 4 Staff via telephone on other dates. A total of 2 Clients were interviewed.

The investigation revealed the following:
Allegation – Staff verbally and physically abused client in care. The administrator and Staff interviewed denied any verbal and physical abuse of clients in care. They stated all the Staff receive training on the different types of abuses and are careful on how they approach the clients.

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: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

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-20230717152650

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: PEOPLE'S CARE VIOLA	FACILITY NUMBER: 198602422
	VISIT DATE: 09/15/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Per the administrator, the clients can become verbally or physically aggressive towards others and sometimes need additional Staff to redirect the client(s). Therefore, there are always 3-4 staff working each shift due to the enhanced behaviors of the clients. Staff are equipped with CPI training. Staff interviewed are aware of the clients’ behaviors and will ensure there is another staff to assist when redirection is not effective. Staff stated C-1 had alleged staff abuse in the past but recanted the statements as well.

LPA reviewed the file for Client #1 (C-1). C-1’s Regional Center IPP indicated that C-1 tends to fabricate stories to seek attention. It is a behavior that staff are working with client in trying to decrease the occurrences. All the staff interviewed had stated C-1 sometimes fabricates stories and makes false allegations. They document these incidents each time it happens in their behavior chart. LPA interviewed 2 Clients and one stated the staff are nice and not abusive. Client also stated that other clients at the home can be mean to staff.

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 Marc Marquez. 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: 09/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2