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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602999
Report Date: 07/28/2022
Date Signed: 07/28/2022 11:49:23 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 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
04/14/2021 and conducted by Evaluator Kruz Long
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20210414100920
FACILITY NAME:FLAGSHIP @ HARVARDFACILITY NUMBER:
198602999
ADMINISTRATOR:CALHOUN, CHARLESFACILITY TYPE:
735
ADDRESS:1301 W 35TH STTELEPHONE:
(323) 735-5411
CITY:LOS ANGELESSTATE: CAZIP CODE:
90007
CAPACITY:3CENSUS: 1DATE:
07/28/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Laquala McKinley (Administrator)TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff abuse client resulting in injury.
Staff yells at client while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kruz Long conducted an unannounced complaint investigation to the facility. Upon arrival, LPA met with Laquala McKinley (Administrator) and explained the purpose of the visit.

During the initial visit conducted on 04/15/21, LPA obtained a copy of the Staff/Resident roster and conducted a health and safety check. LPA toured the facility with Charles Calhoun and observed that the facility is clean and in good repair. LPA also observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days. Restrooms, handwashing basins, toilets and bathtub/showers are operable. There are no immediate health and safety concerns during today's visit.

During today's visit, LPA obtained a copy of the Staff/Client rosters, interviewed Staff #1 in the dining area.

Continue to LIC9099C..
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kruz Long
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
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-20210414100920
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 CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: FLAGSHIP @ HARVARD
FACILITY NUMBER: 198602999
VISIT DATE: 07/28/2022
NARRATIVE
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In regards to the allegation: Staff abuse client resulting in injury. The department interviewed 6 of 6 Staff and all Staff interviewed denied allegations of client abuse. The department was unable to obtain meaningful statements from 2 of 2 Clients interviewed. Interviews with client #1 placement agency did not reveal that staff abuse clients. The investigation revealed that Client #1 (C1) sustained multiple falls and injuries while at the facility along with behavioral concerns which may have resulted in injury. Based on interviews with staff and clients and review of documents obtained, the investigation did not reveal any evidence to support or corroborate that facility staff abuse clients in care which result in injury.

In regards to the allegation: Staff yells at Clients while in care. LPA interviewed Staff #1 who stated that they never yelled at Clients and never witnessed a Staff yell at Clients.

Based on the departments interviews and record review, investigation revealed: Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview conducted with Laquala McKinley and a copy of this report provided.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kruz Long
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/28/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2