<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603460
Report Date: 01/12/2023
Date Signed: 01/12/2023 10:12:03 AM

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
09/09/2021 and conducted by Evaluator Ashley Calderon
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20210909135615
FACILITY NAME:ST. SHARBEL'S GARVEYFACILITY NUMBER:
198603460
ADMINISTRATOR:MUNZON, PETERFACILITY TYPE:
735
ADDRESS:2007 E GARVEY AVE NTELEPHONE:
(562) 682-7027
CITY:WEST COVINASTATE: CAZIP CODE:
91791
CAPACITY:6CENSUS: 1DATE:
01/12/2023
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:DSP worker- Virginia ElopraTIME COMPLETED:
10:20 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not ensure a client was properly groomed while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Ashley Calderon conducted a subsequent complaint investigation for the allegation listed above. LPA Calderon met with Virginia Elopra to discuss the purpose of today's visit.

Investigation consisted of the following: the initial complaint visit was conducted on 09/13/21 by LPA Kruz Long. LPA Long interviewed Staff #1 and #2.

During subsequent complaint visit, LPA Calderon toured the facility along with Virginia Elopra. LPA observed one client in care, the other three clients were at day program. LPA Calderon interviewed client #2 and observed client was properly groomed and receiving proper care and supervision based on observation. LPA observed facility was safe and healthy for client's in care. LPA Calderon collected and reviewed client #1 Pre- Placement Appraisal and Physician's Report.

(CONTINUED ON 9099C)
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023
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-20210909135615
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: ST. SHARBEL'S GARVEY
FACILITY NUMBER: 198603460
VISIT DATE: 01/12/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on allegation: Staff did not ensure a client was properly groomed while in care. LPA Kruz Long's interviewed staff # 1 and #2 both denied allegation and stated no issues with clothing and grooming for client's in care. LPA Calderon interviewed client #2 whom denied allegation stating she/he is groomed and taken care of. LPA Calderon contacted / interviewed Sally Cano Service Coordinator from San Gabriel/ Pomona Regional Center (SGPRC) on 1/11/23, SGPRC was aware of allegations. Cano stated no issues found in their investigation findings on fiduciary abuse, P&I monies and grooming towards clients in care.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged. Therefore, the complaint investigation of the allegations is unsubstantiated.

No Deficiencies cited under California Code of Regulations Title 22.

Exit interview was held with DSP worker Virginia Elopra and a copy of this report was provided.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Ashley Calderon
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/11/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2