198602544-9-27-2024-28-AS-RORN-DABTJ7-20241023144552

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602544
Report Date: 09/27/2024
Date Signed: 09/27/2024 01:56:13 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 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
03/07/2024 and conducted by Evaluator Sanjay Vaid

COMPLAINT CONTROL NUMBER: 28-AS-20240307094252

FACILITY NAME:	PEOPLE'S CARE FERRERO		FACILITY NUMBER:	198602544
ADMINISTRATOR:	ANGELA WILLIAMS		FACILITY TYPE:	735
ADDRESS:	431 FERRERO LN		TELEPHONE:	(323) 330-7545
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91744
CAPACITY:	4	CENSUS: 4	DATE:	09/27/2024
		UNANNOUNCED	TIME BEGAN:	01:01 PM
MET WITH:	Angela Williams, Administrator		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff hit resident.
Staff did not take the resident to get medical care

INVESTIGATION FINDINGS:

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Licensing Program Analyst(LPA) S Vaid conducted a subsequent complaint visit on 09/27/24 regarding the listed allegations and to deliver complaint investigation findings. Met with Angela Williams, Administrator and explained purpose of the visit. Toured the physical plant and did not observe any Health and Safety concerns.

On 03/12/2024, Licensing Program Analyst (LPA) Jose Villalobos conducted an initial 10-day complaint investigation visit for the above allegations. LPA met with Administrator Angela Williams and the purpose of the visit was discussed. The investigation consisted of the following: LPA toured the physical plant. LPA Interviewed staff #1-#9 (S1-S9) and clients #1-#2 (C1-C2). LPA reviewed and collected documents from C1's file as well as from Staff #2's (S2) file. LPA Vaid interviewed C1's placement agency on 05/09/24.

Continued on 9099C......

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024

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-20240307094252

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: PEOPLE'S CARE FERRERO	FACILITY NUMBER: 198602544
	VISIT DATE: 09/27/2024

NARRATIVE

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Regarding the allegation: Staff hit resident. It is alleged that staff S#2 hit client C#1. Interviews conducted by LPA Villalobos, nine (9) out of (9) staff deny this allegation and two (2) out of (2) clients could not corroborate the allegation. Clients at the facility have intellectual disabilities and did not recall the events that allegedly took place. According to the IPP for C1, consistent behaviors patterns of fabricating events(fibbing to gain attention). Staff state they handle the clients with respect and dignity, providing them with assisted daily living to become more productive and responsible. Based on interviews conducted by LPA Villalobos. Physicians report, IPP documentation, and staff interview(s) reviewed, and Regional Center Service Coordinator interviewed by LPA Vaid. 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 allegation is unsubstantiated.

Regarding the allegation: Staff did not take the resident to get medical care. It is alleged that the facility staff did not seek emergency care for the client #1(C1) after S2 had allegedly hit C1. Nine (9) out of (9) staff interviewed by LPA Villalobos deny this allegation and two (2) out of (2) clients could not corroborate this allegation. According to the Administrator, on 03/05/24 and 03/07/24 paramedics and sheriffs were called out to the facility for alleged attack on C1 by S2. Both incidents were reported to licensing, and during both times paramedics conducting body check did not find bruising nor redness on C1 body from the alleged attack. On 03/07/24 after C1 mentioned being attacked by staff, C1 was taken to hospital for check-up for internal injuries. C1 returned the same day. Based on interviews conducted by LPA Villalobos. Physicians report, IPP documentation, and emergency department patient visit information packet reviewed by LPA Vaid. 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 allegation is unsubstantiated.

An exit interview was conducted and a copy of this report was given to Angela Williams, Administrator.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2024

LIC9099 (FAS) - (06/04)

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