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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603436
Report Date: 02/15/2024
Date Signed: 02/15/2024 11:54:54 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
02/14/2024 and conducted by Evaluator Elizabeth Irra
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240214083647
FACILITY NAME:HIGHPOINTE CARE - FRENCH LANEFACILITY NUMBER:
198603436
ADMINISTRATOR:STEWART, REUBENFACILITY TYPE:
735
ADDRESS:430 FRENCH LN.TELEPHONE:
(562) 682-0946
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:4CENSUS: 1DATE:
02/15/2024
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Adeniran Julius Jose (S-1)TIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility staff forcefully grabbed client.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Elizabeth Irra conducted an unannounced visit to investigate the above allegation. LPA was allowed entry by Adeniran Julius Jose (S-1) and LPA explained the purpose of today’s visit.

During this investigation, LPA obtained a copy of the staff roster, reviewed file for Client #1 (C-1) and obtained relevant information, interviewed Staff #1 (S-1) through Staff #3 (S-3) and interviewed Client #1 (C-1) and Client #2 (C-2). LPA also called Staff #4 (S-4) and left a message for a return call.

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: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2024
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-20240214083647
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: HIGHPOINTE CARE - FRENCH LANE
FACILITY NUMBER: 198603436
VISIT DATE: 02/15/2024
NARRATIVE
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Allegation: Facility staff forcefully grabbed client. It is alleged that S-1 forcefully grabbed C-1 by their left upper arm and requested C-1 to wash a dirty dish that was left in the sink. C-1 allegedly refused to wash the dish and then S-1 released C-1’s arm with no injuries noted. Staff interviews revealed that staff do not forcefully grab clients. Staff interviews also revealed that they have not witnessed nor received any complaints/concerns from anyone in regards to staff forcefully grabbing clients. Staff interviews revealed that C-1 has a history of fabricating stories. Interviewed staff indicated they are trained in mandated reporting, client rights and zero tolerance. (1) out of (2) interviewed clients indicated staff do not forcefully grab clients. Staff and client interviews do not corroborate this allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.



Exit interview conducted, a copy of the Appeal Rights and this report was provided to Adeniran Julius Jose (S-1)
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2024
LIC9099 (FAS) - (06/04)
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