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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603560
Report Date: 09/13/2022
Date Signed: 09/13/2022 03:00:13 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
09/08/2022 and conducted by Evaluator Angelica Rea
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20220908123245
FACILITY NAME:CLIMB SIERRA MADRE RCFEFACILITY NUMBER:
198603560
ADMINISTRATOR:VARGAS, HECTORFACILITY TYPE:
740
ADDRESS:161 W. SIERRA MADRE BLVD.TELEPHONE:
(626) 289-5321
CITY:SIERRA MADRESTATE: CAZIP CODE:
91024
CAPACITY:40CENSUS: 37DATE:
09/13/2022
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Hector VargasTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Resident was not provided a comfortable temperature while in care
Resident air condition is in disrepair
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Rea conducted an initial complaint visit in response to the allegations listed above. LPA met with Administrator, Hector Vargas who assisted with today's visit.

The investigation consisted of the following: tour of facility, including resident rooms, interviews with administrator, staff #1 -staff #3, and resident #1 - #4. On today's visit, LPA observed that the facility temperature read 80 degrees F on the thermostat in the hallway.

Administrator and Staff interviewed stated that the facility has central air conditioning, and it is functioning. Administrator and Staff stated that some resident room(s) have air conditioning units as well. Administrator and staff stated that none of the residents have said that the facility temperature is uncomfortable for them. Staff interviewed stated that the resident air conditioning units are operational. LPA observed that the facility temperature was comfortable at the time of the visit. LPA observed that the air conditioning units tested were operating during today's visit.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
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-20220908123245
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: CLIMB SIERRA MADRE RCFE
FACILITY NUMBER: 198603560
VISIT DATE: 09/13/2022
NARRATIVE
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Resident(s) Interviewed were unable to corroborate the allegation(s). Residents interviewed stated that the facility temperature is comfortable for them. Resident(s) interviewed denied that the air conditioning was in disrepair.

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

No Deficiencies cited under California Code of Regulations Title 22. An exit Interview conducted and copy of report was provided to Administrator.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 09/13/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/13/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2