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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603320
Report Date: 07/11/2023
Date Signed: 07/11/2023 03:29:04 PM

Substantiated


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
07/03/2023 and conducted by Evaluator Jose Villalobos
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20230703154322
FACILITY NAME:TOP CHOICE HOMESFACILITY NUMBER:
198603320
ADMINISTRATOR:HAYWOOD, MARSHAFACILITY TYPE:
735
ADDRESS:9134 ARMLEY AVE.TELEPHONE:
(626) 445-7100
CITY:WHITTIERSTATE: CAZIP CODE:
90603
CAPACITY:6CENSUS: 5DATE:
07/11/2023
UNANNOUNCEDTIME BEGAN:
01:55 PM
MET WITH:Horace Hall and Marsha Haywood TIME COMPLETED:
03:40 PM
ALLEGATION(S):
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P & I ledger and clients funds were not at the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced complaint investigation visit for the allegation above. LPA met with Licensee Horace Hall and Administrator Marsha Haywood. The purpose of the visit was discussed.

LPA conducted the following on todays visit ; LPA toured the physical plant, interviewed staff #1-#3 (S1-S3) , clients #1-#3 (C1-C3) interviewed , LPA reviewed client files related the allegation. LPA reviewed documents from clients placement agency. The investigation revealed the following:

In regards to allegation "P & I ledger and clients funds were not at the facility" it was alleged that the record of client's safeguarded cash resources were not available in the facility on multiple occasions...

Continued on LIC 9099-C
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Jose Villalobos
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023
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 3
Control Number 28-AS-20230703154322
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: TOP CHOICE HOMES
FACILITY NUMBER: 198603320
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/11/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/14/2023
Section Cited
CCR
80070(a)(b)(14)
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80070.Client Records (a) The licensee shall ensure that a separate, complete, and current record is maintained in the facility for each client. (b) Each record must contain information...:(14)An account of the client's cash resources, personal property, and valuables entrusted...
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Facility to maintain has a dedicated storage location for records of clients cash resources and funds in the facility.

LPA observed deficiency to be corrected at the time of this visit.
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This was not met as evidenced by facility not maintaining record of client cash resources and funds on site during 4/20/23 and 6/14/23 visit from client's placement agency. This poses a potential health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Jose Villalobos
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/11/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20230703154322
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: TOP CHOICE HOMES
FACILITY NUMBER: 198603320
VISIT DATE: 07/11/2023
NARRATIVE
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(2) of (3) Staff interviewed corroborate the allegations. (3) of (3) Clients in care could not corroborate the allegation. Details provided state that the Placement Agency for the clients conducted two (2) site visits on 4/20/23 and 6/14/23. During both visits , the records of clients cash resources and funds were not available for review as they were not kept in the facility. Interviews with staff show that this was true and facility was given a Corrective Action Plan. LPA reviewed the Corrective Action Plan provided and it shows that the facility failed to keep record of the clients cash resources and funds on site as needed. Based on interviews conducted, record review, and observations, the preponderance of evidence standard has been met, therefore the above allegation(s) are found to be SUBSTANTIATED. Deficiencies are cited. See LIC 9099D.

Exit interview was conducted and a copy of the report and appeal rights were provided.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Jose Villalobos
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3