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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603477
Report Date: 10/06/2022
Date Signed: 10/06/2022 04:21:33 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
09/30/2022 and conducted by Evaluator Angelica Rea
COMPLAINT CONTROL NUMBER: 28-AS-20220930083342
FACILITY NAME:JRC TITANIUM CARE HOME INC.FACILITY NUMBER:
198603477
ADMINISTRATOR:CANONES, RONELFACILITY TYPE:
735
ADDRESS:212 E LA VERNE AVETELEPHONE:
(909) 279-5485
CITY:POMONASTATE: CAZIP CODE:
91767
CAPACITY:4CENSUS: 4DATE:
10/06/2022
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Ronel Canones, Administrator TIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff yells at resident while in care.
Staff does not treat resident with dignity and respect.
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Angelica Rea and Kimberly Ramirez conducted an unannounced visit in response to the above allegations.

LPAs met with Staff, Dajua Rias who allowed entry into the facility and called Administrator, Ronel Canones who arrived at the facility a short time later.

Regarding the allegation that staff yells at resident while in care, and staff does not treat resident with dignity and respect, the investigation consisted of interview(s) with Administrator, Staff #1, -Staff #3, Resident #1 - Resident #3, and review of Resident #1's file. LPA obtained copies of specific documents from resident #1's file.

LPA spoke to Regional center staff regarding the allegations. Regional center did not have concerns regarding the allegations.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
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-20220930083342
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: JRC TITANIUM CARE HOME INC.
FACILITY NUMBER: 198603477
VISIT DATE: 10/06/2022
NARRATIVE
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Administrator and staff interviewed denied that staff yell at residents and denied that staff do not treat residents with dignity and respect. Residents interviewed were not able to corroborate the allegation. 2 out of 3 residents stated that staff do not yell at residents and staff treat them with dignity and respect.

Based on LPA's observations and 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.

No Deficiencies cited under California Code of Regulations Title 22. Exit interview conducted, and a copy of report was provided to Administrator, Ronel Canones.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2