198603436-8-31-2022-28-AS-MVAO-CJNQHJ-20220927121114

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603436
Report Date: 08/31/2022
Date Signed: 08/31/2022 02:15:54 PM

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
08/29/2022 and conducted by Evaluator Elizabeth Irra

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220829111335

FACILITY NAME:	HIGHPOINTE CARE - FRENCH LANE		FACILITY NUMBER:	198603436
ADMINISTRATOR:	STEWART, REUBEN		FACILITY TYPE:	735
ADDRESS:	430 FRENCH LN.		TELEPHONE:	(562) 682-0946
CITY:	POMONA	STATE: CA	ZIP CODE:	91767
CAPACITY:	4	CENSUS: 3	DATE:	08/31/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Ekundayo Daniel Aleburu		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Staff inappropriately grabbed a client's arm while in care
Staff denied a client from eating while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Elizabeth Irra conducted the initial 10 day complaint visit to investivate the above allegations. LPA met with Ekundayo Daniel Aleburu (Assistant Administrator) and explained the purpose of today's visit.

During this investigation, LPA obtained a copy of the staff roster and resident roster. At approximately 10A.M., LPA reviewed staff files for the Assistant Administrator, Staff #1 (S-1), Staff #2 (S-2), Staff #3 (S-3), Client #1 (C-1), Client #2 (C-2), Client #3 (C-3) and obtained relevant documentation. At approximately 11A.M., LPA also interviewed Client #1 through Client #3 (C-1 through C-3) and interviewed the Assistant Administrator, S-1 and S-2. LPA was unable to reach S-3 as S-3 no longer works at this facility and S-3's contact number no longer belongs to S-3.

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

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Christine Yee
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

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-20220829111335

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: HIGHPOINTE CARE - FRENCH LANE	FACILITY NUMBER: 198603436
	VISIT DATE: 08/31/2022

NARRATIVE

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Allegation: Staff inappropriately grabbed a client's arm while in care. During this investigation, staff interviews revealed that S-3 worked at this facility for a couple of weeks and left as S-3 was returning to school. Interviewed staff indicated they have not witnessed nor received any reports from anyone in regards to S-3 allegedly reaching behind C-2 and grabbing C-2’s hand to take away a cup of noodles C-2 was holding and stating that S-2 could not eat it while dropping it to the floor. Staff interviews also revealed that staff are trained in client rights, mandated reporting and client rights. (1) of out (3) interviewed clients indicated they did not know S-3. (2) of (3) interviewed clients indicated that they have not witnessed any staff inappropriately grabbing any clients arm. Interviews do not corroborate this allegation.

Allegation: Staff denied a client from eating while in care During this investigation, interviewed staff indicated they have not witnessed nor received any reports from anyone in regards to S-3 denying clients from eating. Staff interviews also revealed that staff are trained in client rights, mandated reporting and client rights. (1) of out (3) interviewed clients indicated they did not know S-3. (2) of (3) interviewed clients indicated that they have not witnessed any staff denying clients from eating.

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 and appeal rights and a copy of this report was provided to Ekundayo Daniel Aleburu (Assistant Administrator)

NAME OF LICENSING PROGRAM MANAGER: Christine Yee
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 08/31/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2022

LIC9099 (FAS) - (06/04)

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