198602952-2-8-2024-28-AS-TVAO-D2EUEV-20240213143146

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602952
Report Date: 02/08/2024
Date Signed: 02/08/2024 01:14:14 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
12/09/2022 and conducted by Evaluator Elizabeth Irra

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20221209091314

FACILITY NAME:	A AND M AURORA HOME CARE		FACILITY NUMBER:	198602952
ADMINISTRATOR:	JOSEPH ESTANISLAO		FACILITY TYPE:	735
ADDRESS:	555 AUORA DRIVE		TELEPHONE:	(909) 399-0693
CITY:	CLAREMONT	STATE: CA	ZIP CODE:	91711
CAPACITY:	4	CENSUS: 4	DATE:	02/08/2024
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Yaya Akanji and Joseph Estanislao/Administrator		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Personal Rights: Staff member caused injuries to client.
Personal Rights: Staff member handles clients in a rough manner
Personal Rights: Staff do not seek medical attention in a timely manner.
Personal Rights: Clients are being neglected in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Elizabeth Irra conducted a subsequent visit to investigate the above allegations. LPA was allowed entry by Yaya Akanji and LPA discussed the purpose of today’s visit. Joseph Estanislao/Administrator arrived at approximately 9:20 A.M..

LPA conducted the initial investigation visit on 12/12/2022. During this visit, LPA conducted a tour of this facility. LPA did not observe any signs of neglect, abuse or other immediate health and safety threats. LPA obtained a copies of the client and staff rosters. LPA reviewed files for Client #1 (C-1) through Client #4 (C-4) and obtained relevant documentation. LPA also reviewed files for Staff #1 (S-1) through Staff # 4 (S-4).

Refer to LIC 9099C for the continuation of this report.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

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-20221209091314

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 AURORA HOME CARE	FACILITY NUMBER: 198602952
	VISIT DATE: 02/08/2024

NARRATIVE

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During this investigation, LPA interviewed S-2 through S-6. LPA attempted to interview S-1 (left message for return call). Per staff interviews, S-1 no longer works at this facility. LPA was unable to interview C-1, C-2 and C-5 as they are non-verbal. C-3 was not present during this visit and LPA attempted to interview C-3 via telephone at program and C-3 was out in the community. C-4 no longer resides at this facility (C-4 is also non-verbal). LPA interviewed the assigned Service Coordinator (SC) from San Gabriel Pomona Regional Center. Per SC interview, SC has not received any complaints/concerns in regards to these allegations. SC does not have any concerns pertaining to these allegations.

Allegation: Personal Rights/Staff member caused injuries to client. It is alleged that S-1 hits clients and is aggressive towards clients. Interviewed staff indicated staff members do not cause injuries to clients. Interviewed staff indicated they have not witnessed nor received any concerns/complaints in regards to staff causing injuries to clients (including S-1). Interviewed staff indicated that the clients residing at this home have severe behaviors and that staff are trained to handle clients’ behaviors. Indicated behaviors are being monitored, recorded and reported to the behaviorist. Staff Indicated C-1 exhibits Self-Injurious Behavior (at times resulting in bruising). LPA was unable to interview C-1, C-2 and C-5 as they are non-verbal. C-3 was not present during this visit and LPA attempted to interview C-3 via telephone at program and C-3 was out in the community. C-4 no longer resides at this facility (C-4 is also non-verbal). Staff and SC interviews do not corroborate this allegation.

Allegation: Personal Rights/ Staff member handles clients in a rough manner It is alleged that S-1 handles clients in a rough manner. Staff interviews revealed that staff members do not handle clients in a rough manner. Interviewed staff indicated they have not witnessed nor received any concerns/complaints in regards to staff handling clients in a rough manner (including S-1). LPA was unable to interview C-1, C-2 and C-5 as they are non-verbal. C-3 was not present during this visit and LPA attempted to interview C-3 via telephone at program and C-3 was out in the community. C-4 no longer resides at this facility (C-4 is also non-verbal). Staff and SC interviews do not corroborate this allegation.

Refer to LIC 9099C for the continuation of this report.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20221209091314

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 AURORA HOME CARE	FACILITY NUMBER: 198602952
	VISIT DATE: 02/08/2024

NARRATIVE

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Allegation: Personal Rights/Staff do not seek medical attention in a timely manner. It is alleged that staff do not seek medical attention in a timely manner. Staff interviews revealed that staff seek medical attention for all clients in a timely manner. Interviewed staff indicated that clients consult with their physicians on a routine and as needed basis. Interviewed staff indicated they do not delay in seeking medication attention for all clients. Staff indicated they have not witnessed nor received any concerns/complaints in regards to staff not seeking medical attention for clients in a timely manner. LPA was unable to interview C-1, C-2 and C-5 as they are non-verbal. C-3 was not present during this visit and LPA attempted to interview C-3 via telephone at program and C-3 was out in the community. C-4 no longer resides at this facility (C-4 is also non-verbal). Staff and SC interviews do not corroborate this allegation.

Allegation: Personal Rights/Clients are being neglected in care It is alleged that facility staff are neglecting clients in care and when medical assistance is needed, the administrator delays until the last minute. Staff interviews revealed that clients are not being neglected. Interviewed staff indicated they have not witnessed nor received any concerns/complaints in regards clients being neglected while in care. Interviewed staff indicated they are trained in client rights, zero tolerance and clients rights. LPA was unable to interview C-1, C-2 and C-5 as they are non-verbal. C-3 was not present during this visit and LPA attempted to interview C-3 via telephone at program and C-3 was out in the community. C-4 no longer resides at this facility (C-4 is also non-verbal). Staff and SC interviews do not corroborate this allegation.

Based on record review and interviews conducted the findings indicate, although the allegation(s) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) are UNSUBSTANTIATED.

An exit interview conducted, appeal rights and a copy of this report was provided to Joseph Estanislao/Administrator.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/08/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/08/2024

LIC9099 (FAS) - (06/04)

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