198602571-2-25-2025-28-AS-TVAO-DEFTST-20250304135940

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602571
Report Date: 02/25/2025
Date Signed: 02/25/2025 02:55:25 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
02/19/2025 and conducted by Evaluator Cynthia D Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250219100153

FACILITY NAME:	A AND M ARMOUR HOME CARE		FACILITY NUMBER:	198602571
ADMINISTRATOR:	SYLVIA OWENS		FACILITY TYPE:	735
ADDRESS:	2145 ARMOUR STREET		TELEPHONE:	(909) 618-7065
CITY:	POMONA	STATE: CA	ZIP CODE:	91768
CAPACITY:	4	CENSUS: 4	DATE:	02/25/2025
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Mona Dela Rosa, Licensee		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

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Staff do not have background clearance or association prior to working at the facility.
Staff are not properly trained.
Staff do not have TB clearance prior to working at the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation on the allegations listed above. LPA arrived unannounced and met with Licensee, Mona Dela Rosa, and Administrator, Ifeoma Osonwa. The purpose of the visit was explained.

LPA obtained copies of the staff and client rosters, reviewed staff records, and checked medications. Interviews were held with the licensee, administrator, 4 Staff, and 2 Clients.

Allegation - Staff do not have background clearance or association prior to working at the facility.
Per the licensee and administrator, there are 11 care staff working at the facility. Licensee provided the guardian roster to show proof of background clearance and association for all staff. She stated that staff are associated to all of their facilities in case they need to fill in. LPA interviewed the administrator and 4 staff who indicated that they obtained background clearance prior to working. LPA reviewed the roster and verified that all the staff employed at this facility have fingerprint clearance and association.

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: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

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-20250219100153

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: A AND M ARMOUR HOME CARE	FACILITY NUMBER: 198602571
	VISIT DATE: 02/25/2025

NARRATIVE

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Allegation - Staff are not properly trained. Per the licensee and administrator, staff have sufficient training throughout the year. They provide on-the-job training and go over the clients’ Individual Program Plan with the staff to relay pertinent information. Staff interviewed stated they receive training every month. They also receive medication training through a pharmacist. LPA reviewed training logs in staff files. Staff are receiving medication training annually and topics related to clients’ care. Medications are being administered as prescribed and are initialed when given. LPA interviewed 2 out of 4 clients. 2 of the clients who are verbal indicated they like residing at the facility. They stated that staff are taking good care of them and assist them when needed.

Allegation - Staff do not have TB clearance prior to working at the facility. The licensee and administrator stated that all their staff have health screening and TB completed either prior or within seven days of hire. LPA reviewed all the personnel files during the visit today. LPA observed the health screening form which included the TB results for each staff. Staff interviewed stated they were required to obtain a TB test and/or chest xray prior to working.

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 held 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: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

LIC9099 (FAS) - (06/04)

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