198603448-5-7-2024-28-AS-RORN-D7NMVW-20240730095726

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603448
Report Date: 05/07/2024
Date Signed: 05/07/2024 03:34:11 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
05/02/2024 and conducted by Evaluator Jose Villalobos

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240502122729

FACILITY NAME:	PEOPLE'S CARE FELLOWSHIP		FACILITY NUMBER:	198603448
ADMINISTRATOR:	FLORES, DENISE		FACILITY TYPE:	735
ADDRESS:	15762 FELLOWSHIP STREET		TELEPHONE:	(909) 287-3557
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91744
CAPACITY:	4	CENSUS: 4	DATE:	05/07/2024
		UNANNOUNCED	TIME BEGAN:	01:50 PM
MET WITH:	Administrator Janet De Luna		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Facility staff spoke inappropriately to the resident
Facility staff shouted at the resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced initial complaint investigation visit for the allegations listed above. LPA met with Administrator Janet De Luna and the purpose of the visit was discussed.

Initial visit conducted on 5/6/24 consisted of the following: LPA toured the physical plant, interviewed Staff #1-#4 (S1-S4), interviewed clients #1-#4 (C1-C4), collected a copy of the staff and client roster, and collected documents from C1's file. On todays visit, LPA interviewed staff #5-7 (S5-S7). The investigation revealed the following:

In regards to the allegation "Facility staff spoke inappropriately to the resident" it was alleged that facility staff make inappropriate comments to C1 to provoke and agitate them. (7) of (7) Staff interviewed denied the allegation. (4) of (4) Clients interviewed could not corroborate the allegation...

Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Jose Villalobos
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024

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-20240502122729

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: PEOPLE'S CARE FELLOWSHIP	FACILITY NUMBER: 198603448
	VISIT DATE: 05/07/2024

NARRATIVE

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Details provided stated that staff tell C1 "so and so person doesn't like you", and "Don't work out, that will make you look like a boy". C1 denied that any staff of the facility have made this comment to her at any point since she has lived here. C1 stated they have no problems with the facility staff and enjoy their company. Clients interviewed had not heard staff make any inappropriate comments to any clients in care. LPA was not provided with proof that the facility staff speak inappropriately to clients in care. LPA did not observe staff speaking to clients inappropriately throughout the investigation visits. Based on interviews, observations and files reviewed, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

In regards to the allegation "Facility staff shouted at the resident" it was alleged that S5 shouted at C1 through their bedroom door on 4/30/24. (7) of (7) Staff interviewed denied the allegation. (4) of (4) Clients interviewed could not corroborate the allegation. Interviews show that on 4/30/24, C1 was in their room with their 1-on-1 service provider when S5 came to knock on the door and ask if C1 was ready for dinner. Staff denied yelling at C1 at any point. Interview with C1 stated that the staff did not yell at them and they did not have a problem with the facility staff. Interviews added that C1's 1-on-1 was having a personal dispute with the facility staff on that day but did not involve any shouting at any clients. File review shows that C1 receives 1-on-1 services from Delta T , a third party agency, contracted by the Department of Children and Family Services (DCFS) on behalf of C1. LPA was not provided with proof that staff shouted at C1 or any other clients in care. Based on interviews, observations and files reviewed, there was not enough supportive evidence to concur with the reported allegation. Although the allegation may have happened or are 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 and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Jose Villalobos
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 05/07/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/07/2024

LIC9099 (FAS) - (06/04)

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