198603490-9-29-2022-28-AS-RORN-CKCKKR-20221019075842

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603490
Report Date: 09/29/2022
Date Signed: 09/29/2022 12:48:31 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
06/30/2022 and conducted by Evaluator Kruz Long

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220630134708

FACILITY NAME:	INSIGHT FOR LIFE EBSH @ GIANO		FACILITY NUMBER:	198603490
ADMINISTRATOR:	FALATOONZADEH, MELLAD		FACILITY TYPE:	737
ADDRESS:	601 GIANO AVE		TELEPHONE:	(626) 945-2709
CITY:	LA PUENTE	STATE: CA	ZIP CODE:	91744
CAPACITY:	4	CENSUS:	DATE:	09/29/2022
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Mellad Falatoonzadeh, Administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility staff member sexually assaulted resident while in care.
Facility staff member hit resident while in care.

INVESTIGATION FINDINGS:

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

Licensing Program Analyst (LPA) Kruz Long conducted an unannounced visit to the facility to deliver complaint findings. Upon arrival, LPA met with Mellad Falatoonzadeh, Administrator and explained the purpose of the visit.

During the initial site visit on 07/01/22, LPA conducted a health and safety check. LPA toured the facility and observed the facility to be clean and in good repair. LPA also observed supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days. Restrooms, handwashing basins, toilets and bathtub/showers are operable. There are no immediate health and safety concerns during the visit.

Continue to LIC9099C....

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kruz Long
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2022

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-20220630134708

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: INSIGHT FOR LIFE EBSH @ GIANO	FACILITY NUMBER: 198603490
	VISIT DATE: 09/29/2022

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

In regards to the allegation: Facility staff member sexually assaulted resident while in care. The department interviewed the reporting party, three (3) facility staff, two (2) clients, two (2) Regional Center staff and review local law enforcement records. There were no witnesses to the alleged sexual assault allegation. Staff that were interviewed indicate that there are always numerous staff members continuously present at the facility and none of the staff was able to corroborate the allegation of sexual assault. Client #1 indicated that staff would not put their hands on Client #1. Client #2 indicated that the allegation was false. According to Client #1's Regional Center, Client #1 has a history of fabricating stories and has made similar allegations in the past. Local law enforcement investigation was closed and indicated there was no merit to the allegation. Therefore, the investigation did not reveal did not reveal a preponderance of evidence to support the allegation: Staff sexually assaulted a resident while in care.

In regards to the allegation: Facility staff member hit resident while in care. The department interviewed the reporting party, three (3) facility staff, two (2) clients, two (2) Regional Center staff and review local law enforcement records. There were no witnesses to the alleged incident of staff hitting client(s). Client #1 indicated that staff would not put their hands on Client #1. Client #2 indicated that the allegation is false. According to client #1 Regional Center, Client #1 has a history of fabricating stories and has made similar allegations in the past. Local law enforcement investigation was closed and indicated there was no merit to the allegation. Therefore, the investigation did not reveal a preponderance of evidence to support that the allegation: Staff hit residents while in care.

Based on the department's interviews and record review, the investigation revealed: Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.

Exit interview conducted and a copy of this report provided to Mellad Falatoonzadeh, Administrator.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kruz Long
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/29/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 2