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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603490
Report Date: 12/06/2022
Date Signed: 12/06/2022 11:54:02 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
11/28/2022 and conducted by Evaluator Kruz Long
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20221128085737
FACILITY NAME:INSIGHT FOR LIFE EBSH @ GIANOFACILITY NUMBER:
198603490
ADMINISTRATOR:FALATOONZADEH, MELLADFACILITY TYPE:
737
ADDRESS:601 GIANO AVETELEPHONE:
(626) 295-2535
CITY:LA PUENTESTATE: CAZIP CODE:
91744
CAPACITY:4CENSUS: 2DATE:
12/06/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mellad Falatoonzadeh (Administrator)TIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff handle clients in a rough manner.
Staff force clients to go to bed.
Staff are writing false information on reports.
Staff speak inappropriately to clients.
Staff are not assisting clients with hygiene needs.
Facility staff are over medicating client.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Kruz Long conducted an unannounced complaint investigation at the facility. Upon arrival, LPA met with Mellad Falatoonzadeh (Administrator) and explained the purpose of the visit.

During today's visit, LPA obtained a copy of the Staff schedule/Client rosters and interviewed Staff #1 in the garage/office, interviewed Staff #2 to #7 in the sensory room, interviewed Client #2 in the sensory room and attempted to interview Client #1 in the facility van.

In regards to the allegation: Staff handle clients in a rough manner. Interviews with 7 of 7 staff indicate that staff have never handled a client a in a rough manner nor have they witnessed other staff handle a client in a rough manner. Interview with 1 client indicated that staff have never handled them in a rough manner.

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: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
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-20221128085737
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: 12/06/2022
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: Staff force clients to go to bed. Interviews with 7 of 7 staff indicated that clients are not forced to go to bed. Interview with 1 client indicate that they go to bed when they want to.

In regards to the allegation: Staff are writing false information on reports. Interviews with 7 of 7 staff indicate that they have never written false information on a report nor have they witnessed other staff write false information on a report.

In regards to the allegation: Staff speak inappropriately to clients. Interviews with 7 of 7 staff indicate they have never spoken to a client inappropriately nor have they witnessed other staff speak inappropriately to a client. Interview with 1 client indicate that staff never spoken to them inappropriately.

In regards to the allegation: Staff are not assisting clients with hygiene needs. Interviews with 7 of 7 staff indicated clients are being assisted with their hygiene needs. LPA observed clients to be clean and well kempt. Interview with 1 client indicate that they are provided clean clothing and assistances with bathing.

In regards to the allegation: Facility staff are over medicating client. Interviews with 7 of 7 staff indicate that clients are not being over medicated. Medication assistances is based on doctor's orders. Interview with 1 client indicated that they are not being over medicated.

Based on LPA's interviews and observation, 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 allegation is unsubstantiated.

Exit interview conducted and a copy of this report provided to Mellad Falatoonzadeh.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Kruz Long
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/06/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2