198603593-4-19-2024-28-AS-RORN-D4NLPF-20240425085553

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603593
Report Date: 04/19/2024
Date Signed: 04/19/2024 11:45:50 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
04/12/2024 and conducted by Evaluator Luis Mora

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240412092502

FACILITY NAME:	VALLEY STAR RANCHO LOS AMIGOS CRT		FACILITY NUMBER:	198603593
ADMINISTRATOR:	HONORE-HARRELL, ALISHA		FACILITY TYPE:	772
ADDRESS:	7735 LEEDS ST		TELEPHONE:	(562) 719-2865
CITY:	DOWNEY	STATE: CA	ZIP CODE:	90242
CAPACITY:	16	CENSUS: 13	DATE:	04/19/2024
		UNANNOUNCED	TIME BEGAN:	09:21 AM
MET WITH:	Alisha Honore - Administrator		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Staff does not speak to client in an appropriate manner
Staff does not ensure care is provided to client
Staff does not ensure bathrooms are kept in clean sanitary condition
Staff does not ensure hygiene supplies are made available to clients in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Luis Mora conducted an unannounced initial complaint visit to determine the validity of the above-mentioned allegations. LPA met with Alisha Honore (Administrator) and explained the reason for the visit.

The investigation consisted of the following: LPA Mora obtained copies of the client and staff rosters, interviewed Administrator, Staff 1 - Staff 2 (S1 - S2) and Client 1 - Client 7 (C1 - C7), and toured all the restrooms and bathrooms.

The investigation revealed the following: regarding the allegation "staff does not speak to client in an appropriate manner", it is alleged that S2 is rude and argues with a client, and calls the client dirty and to take a bath. Administrator and staff denied the allegation. Administrator and S1 described S2 as being kind and respecful. Clients interviewed could not corroborate the allegation.
(Continued to LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Luis Mora
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20240412092502

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: VALLEY STAR RANCHO LOS AMIGOS CRT	FACILITY NUMBER: 198603593
	VISIT DATE: 04/19/2024

NARRATIVE

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Regarding the allegation "staff does not ensure care is provided to client", it is alleged that S2 refuses to provide wound care. Administrator stated that intensive wound care is not provided at this facility because this is a Social Rehabilitation Facility. Any client that needs intensive wound care will be taken to urgent care. If it is minor cuts/wounds then first aid is provided. Administrator and staff are unaware of any client that needs wound care. Clients interviewed could not corroborate the allegation.

Regarding the allegations "staff does not ensure bathrooms are kept in clean sanitary condition" and "staff does not ensure hygiene supplies are made available to clients in care", it is alleged that a hallway bathroom is always dirty and never has any toilet tissue. Administrator and staff denied the allegation. They stated that bathroom cleaning is done daily and all bathroom always have toilet paper. Clients interviewed could not corroborate the allegation. LPA toured all bathrooms and observed them to be in a clean manner and also observed toilet paper in all bathrooms. LPA observed a decent amount of toilet paper in the storage rooms and offices.

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.

Exit interview held and a copy of the report was provided

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Luis Mora
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/19/2024

LIC9099 (FAS) - (06/04)

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