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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603424
Report Date: 07/05/2024
Date Signed: 07/05/2024 11:14:48 AM

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
06/25/2024 and conducted by Evaluator Elizabeth Irra
COMPLAINT CONTROL NUMBER: 28-AS-20240625110516
FACILITY NAME:NEW HOPE HOME CAREFACILITY NUMBER:
198603424
ADMINISTRATOR:MANZANO, CARMENCITAFACILITY TYPE:
735
ADDRESS:2146 VIRGINIA AVE.TELEPHONE:
(909) 306-7757
CITY:POMONASTATE: CAZIP CODE:
91766
CAPACITY:4CENSUS: 3DATE:
07/05/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Leonora NgTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Facility staff did not dispense medications as prescribed.
Facility staff yelled at client.
Facility staff spoke inappropriately to client.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted an unannounced visit to investigate the above allegation. LPA met with Leonora Ng and explained the purpose of today's visit.

During this visit, LPA obtained copies of the staff and client rosters, interviewed Staff #1 (S-1) through Staff #2 (S-2), interviewed Client #1 (C-1) through Client #3 (C-3) and reviewed C-3’s file and obtained relevant documentation.

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: 07/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2024
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-20240625110516
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: NEW HOPE HOME CARE
FACILITY NUMBER: 198603424
VISIT DATE: 07/05/2024
NARRATIVE
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Allegation: Facility staff did not dispense medications as prescribed. It is alleged that staff are not providing clients with their medication as prescribed. Staff interviews revealed that medications are provided to clients as prescribed. Per Staff interviews, C-3 had a change of medication (Ketoconazole 2% Topical Cream and Hydrocortisone 2.5% Topical Cream). Per Staff interviews and C-3’s record review, staff are to apply the topical cream (noted above) (2) weeks on and (2) weeks off. C-3 was unaware of the change of C-3’s topical creams. Per C-1 and C-2, staff provide them with medication on a routine basis and have no concerns. Interviews and record review does not corroborate this allegation.

Allegation: Facility staff yelled at client. It is alleged that staff yells at client. Staff interviews revealed that staff do not yell at clients. Interviewed staff have not witnessed any staff yelling at clients nor received any complaints pertaining to this matter. (2) out of (3) interviewed clients indicated that staff do not yell at clients. (3) out of (3) interviewed clients indicated they have not observed staff yelling at other clients. Interviews do not corroborate this allegation.

Allegation: Facility staff spoke inappropriately to client. It is alleged that staff raise their voice when C-3 uses C-3’s own money to purchase their own food from the supermarket. Per staff interviews, staff provide C-3 with C-3’s monies. Monies that are disbursed to C-3 are documented by staff. Per staff interviews, C-3 has purchased food items that the facility already has that clients can consume. Per staff interviews, staff do not speak to clients in an inappropriate manner. (2) out of (3) interviewed clients indicated that staff do not speak inappropriately to clients. (3) out of (3) interviewed clients indicated they have not observed staff speaking inappropriately to other clients. Interviews and record review do not corroborate this allegation.

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.



Exit interview conducted, a copy of this report and appeal rights were provided to Leonora Ng.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2