198603467-10-29-2024-28-AS-RORN-DAPQCN-20241104110323

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603467
Report Date: 10/29/2024
Date Signed: 10/29/2024 10:44:33 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
01/22/2024 and conducted by Evaluator Nune Margaryan

COMPLAINT CONTROL NUMBER: 28-AS-20240122140149

FACILITY NAME:	PEOPLE'S CARE LOMITAS		FACILITY NUMBER:	198603467
ADMINISTRATOR:	JILLIAN FLORES		FACILITY TYPE:	738
ADDRESS:	14055 LOMITAS AVENUE		TELEPHONE:	(626) 474-2500
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91746
CAPACITY:	4	CENSUS: 3	DATE:	10/29/2024
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Fiona Mutu		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff intoxicated while on duty.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Nune Margaryan conducted a subsequent visit for the above-mentioned allegation. LPA met with Fiona Mutu. Shortly after Administrator Jillian Flores arrived. LPA explained the reason for the visit. The initial complaint was conducted on 02/01/24.

The investigation consisted of the following: At the time of initial visit LPA Margaryan obtained copies of Staff and Clients Rosters, interviewed Staff 1 to Staff 6 (S1 to S6), Client 2 (C2) and Client 3 (C3), QA (Quality Assurance) from San Gabriel / Pomona Regional center. LPA Margaryan also obtained the copies of relevant documents. In addition, a tour of the facility was conducted. All closets and cabinets were checked. On 10/23/24 LPA attempted to interview C1 over the phone. C1 did not answer any of LPA’s questions. Interviews were conducted with Staff 7 – Staff 9 (S7- S9). At the time of today’s visit LPA attempted to interview C1.

Continue 9099C

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Nune Margaryan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024

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 3

Control Number 28-AS-20240122140149

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 LOMITAS	FACILITY NUMBER: 198603467
	VISIT DATE: 10/29/2024

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

Staff was intoxicated while on duty. It was alleged that staff drink alcohol during their NOC shift. Staff went to the club and took the client with them.

During interviews with the staff (7) out of (9) denied the allegation. S3 and S4 stated that they not witnessed that NOC shift staff drunk alcohol during their shift. Interviewed S1 stated that S3 brought up a concern about this matter to S1 on 01/23/24. S1 spoke with S3 and during the conversation S3 brought up that it came to S3 attention that C1 was brought to the club/ bar by his/her assigned NOC shift on 01/19/24. The staff members were named by S3 were S6, S7 and S9, and S3 was concerned that C1 was left alone inside the van while the staff mentioned above was drinking inside. S1 stated that at the time of conversation with S3, S3 showed the screenshot of photo / picture from social media but refused to forward to S1. The screenshot showed of shot glasses filled with what was presumed to be alcohol. There were no faces or location included in the photo. Interviewed S4 stated that S3 shared the information with him/her about the picture from social media and possibly that NOC shift assigned to C1 went to the bar/club on 01/19/24 and took C1 with them. S1 stated that he/she was aware that C1 requested for a van ride at night on 01/19/24. S1 spoke with S2, S6, S7, S9. While staff (S2, S6, S7, S9) was preparing for van ride for C1, S5 called and informed S2 that he/she left his/her wallet in the office from his/her shift that morning and requested if the team could drop off his wallet at the time of van ride. At that point S2 called S1 to make S1 aware of the request and ask for permission to drop off wallet to S5 who was in the parking lot of the club / bar. S1 stated it was not seen as an issue by S1 at that time since C1 just requested a van ride, and dropping off the wallet would serve as an additional purpose to the client’s request. At 10:45pm S2, S7, S6 and S9 left the facility to go on the van ride. Once the staff arrived at the parking lot of the club, S5 approached the van and retrieved his wallet. Interviewed S2 stated that they handed S5 his/her wallet. Before returning back S6 went inside the bar to use the restroom. After heading inside and using the restroom, S6 happened to take a photo of shot glasses on the bar top, which was later posted on a social media, before heading back to the van. C1 along with all 4 staff were back to the facility around 11:40pm. Interviewed S6 stated that he/she used the restroom inside of club before staff returned to facility. S6 stated he/she took a random picture of shot glasses on his / her way exiting the club. S6 stated that no other staff went inside of bar/ club. S2, S7, S9 stated that they didn’t went inside.

Continue 9099C

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Nune Margaryan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 28-AS-20240122140149

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 LOMITAS	FACILITY NUMBER: 198603467
	VISIT DATE: 10/29/2024

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

Interviewed C2 and C3 denied the allegation. They stated didn’t witnessed that any staff drinking alcohol during their shift. On 10/23/24 LPA attempted to interview C1 over the phone. C1 did not answer any of LPA’s questions. During today’s visit LPA attempted one more time to interview C1. At first C1 refused to be interviewed, after was talking about things unrelated to the questions. LPA interviewed QA at the time of initial visit. QA stated the first time of hearing of the allegation but arranging to speak with the staff regarding this concern. After a while LPA received email from QA which enclosed the Corrective Action Plan, confirming that investigation is done. At the time of today’s visit LPA obtained a copy of CAP from SG/PRC. The document said that Plan of Correction has been met. At the time of initial visit LPA was not able to review video recording. Camera system was not recording footage. Staff were able to see the live feed but were not able to go back to the recording. At the time of today’s visit Administrator stated that specialist diagnosed the issue with cameras and advised that there was hard drive issue, which was replaced. LPA Margaryan did not observe any alcohol bottles or drinks in the facility during the tour of the physical plant. Based on observations, and interviews conducted there was not enough supportive evidence to corroborate the 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 was conducted and a copy of the report was provided.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Nune Margaryan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/29/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 3