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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603449
Report Date: 02/07/2024
Date Signed: 02/07/2024 03:27:49 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
01/29/2024 and conducted by Evaluator Jewel Baptiste
COMPLAINT CONTROL NUMBER: 28-AS-20240129110820
FACILITY NAME:JOY HOME AND CAREFACILITY NUMBER:
198603449
ADMINISTRATOR:ARGENTE-GRANADA,MARY ASTERFACILITY TYPE:
735
ADDRESS:16527 E CYPRESS ST.TELEPHONE:
(626) 332-4532
CITY:COVINASTATE: CAZIP CODE:
91722
CAPACITY:6CENSUS: 6DATE:
02/07/2024
UNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Administrator Mary Aster Argente-GranadaTIME COMPLETED:
03:45 PM
ALLEGATION(S):
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Staff allowed resident to wander from facility.
Staff did not report resident missing to police in a timely manner.
INVESTIGATION FINDINGS:
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On 02/07/2024 at 11:35 a.m., Licensing Program Analyst (LPA) Jewel Baptiste conducted a subsequent complaint visit to investigate the above listed allegations. The purpose of the visit was discussed with Administrator Mary Argente-Granada via phone.

During the initial visit on 1/29/2024, LPA Baptiste toured the facility and conducted interviews with the Administrator and a total two (2) staff. The staff shall be referred to as staff#1 and staff#2 (S1 and S2). LPA interviewed a total of 4 clients, who shall be referred to as Client#2 through Client#5 (C2 through C5). LPA attempted to contact the detective (W1) assigned to the missing persons case and left a voice mail. LPA requested the Staff roster, Client roster, Functional capability assessment, Physician’s report, house rules, Appraisal/Needs and services plan, Identification and emergency information, Admissions agreement, and Police report information.

Report continued on 9099c
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Jewel Baptiste
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024
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-20240129110820
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: JOY HOME AND CARE
FACILITY NUMBER: 198603449
VISIT DATE: 02/07/2024
NARRATIVE
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During the visit today, LPA Baptiste interviewed Client#1 (C1) and Client #6 (C6). LPA Baptiste also interviewed C1’s family members who shall be referred to as witness #2 and witness #3. LPA Baptiste obtained a copy of an incident report dated 1/27/2024. Upon arrival the administrator confirmed C1 returned to the facility last night (2/6/2024).

The investigation reveals the following: Regarding “Staff allowed resident to wander from facility”. It is alleged that the facility allowed C1 to leave the facility. The Administrator denied the allegation stating that C1 is allowed to leave the facility unassisted. The administrator further stated they noticed C1 was missing Saturday (1/27/2024) during their morning med. pass. The facility was not alarmed because C1 sometimes leaves the facility in the morning. 1 out of 2 staff stated they were not working at the time of the incident. 1 out of 2 staff stated they noticed C1 was not there during their morning medication and contacted the administrator. 4 out of 6 clients stated they last seen C1 on Friday evening. 1 out of 6 clients is unsure of the day they last seen C1 at the facility. LPA interviewed C1 and confirmed they left during the night but was unsure of the exact day or date. C1 further stated they did not inform any one when they left the facility. 2 out of 2 witnesses confirmed C1 went missing on Saturday and was informed by the facility. They further stated that they directed the facility to wait to see if C1 will return to the facility. LPA reviewed C1’s physician’s report and confirmed C1 can leave the facility unassisted.

The investigation reveals the following: Regarding “Staff did not report resident missing to police in a timely manner”. The Administrator denied the allegation stating they noticed C1 was missing Saturday (1/27/2024) morning. On Sunday (1/28/2024) morning the facility filed a missing person’s report. 1 out of 2 staff stated they reported C1 missing Sunday morning. 4 out of 6 residents stated they saw the police at the facility on Sunday (1/28/2024). 1 out of 6 clients stated they were not at the facility on Saturday. 2 out of 2 witnesses confirmed the facility contacted the police on Sunday (1/28/2024) and the facility provided them with the information from the police report. LPA reviewed the information from the police report and confirmed the police was called on 1/28/2024.

Based on LPA's interviews, investigation revealed: 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 with Mary Argente-Granada via phone and a copy of this record provided.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Jewel Baptiste
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/07/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2