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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603634
Report Date: 01/23/2024
Date Signed: 01/23/2024 01:36:36 PM

Substantiated


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
07/18/2023 and conducted by Evaluator Mary G Flores
COMPLAINT CONTROL NUMBER: 28-AS-20230718091450
FACILITY NAME:ANEW DAWN ADULT LIVINGFACILITY NUMBER:
198603634
ADMINISTRATOR:DUFRENNE, PATRIA MARAVILLAFACILITY TYPE:
735
ADDRESS:4340 LOCKWOOD AVETELEPHONE:
(323) 426-9123
CITY:LOS ANGELESSTATE: CAZIP CODE:
90029
CAPACITY:94CENSUS: 59DATE:
01/23/2024
UNANNOUNCEDTIME BEGAN:
12:03 PM
MET WITH:Patria Dufrenne - Administrator TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff do not provide proper food service to clients in care.
Facility's air conditioning system is in disrepair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint investigation visit regarding the above allegations. LPA met with Patria Dufrenne and explained the reason for the visit.

The investigation consisted of the following: On 7/27/23 LPA conducted an initial visit. During the visit LPA conducted a tour of the facility and observed common areas, kitchen, and 7 client rooms, reviewed medication for 4 clients, interviewed clients #1-#4(C1-C4) and staff #1-#4(S1-S4), and requested copies of staff/client roster, physician's report, admission agreement, appraisal needs and care plan, medication sheet for June and July 2023, menu for 5 weeks, list of special diets, and incident reports for 5 clients. On 1/23/24 LPA delivered findings for complaint.

(CONTINUED ON LIC 9099C)
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2024
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 7
Control Number 28-AS-20230718091450
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: ANEW DAWN ADULT LIVING
FACILITY NUMBER: 198603634
VISIT DATE: 01/23/2024
NARRATIVE
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The investigation revealed the following: Regarding allegation: Staff do not provide proper food service to clients in care. It is alleged the facility’s meals are cooked with excessive salt non conducive to patients with special dietary needs. Interviews conducted revealed 2 out of 4 clients stated that facility follows dietary needs and provides a balance diet. 2 out of 4 clients stated that facility does not follow clients’ dietary needs and provide whatever they make to all clients. Interviews with staff revealed kitchen staff prepared meals per guidelines and clients’ needs. During the visit LPA observed variety of foods, including can foods. Documents reviewed revealed C5 has a special diet per physician’s report due to medical diagnosis. Facility has a list of special diets in which C5’s name was not included. Therefore, although the facility has a menu with food variety, facility staff must be able to identify which clients have special diet per the physician.

Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED.

Regarding allegation: Facility's air conditioning system is in disrepair. It is alleged air conditioning system is not fully functional causing medical problems to clients in care. Interviews with clients revealed the following, 3 out of 4 clients stated the A/C did not work in different occasions for over 2 days, a fan was not offered, or the option of moving rooms. 1 out of 4 clients stated the A/C has been working. Interviews with staff revealed 3 out of 4 staff stated A/C has not been working in certain units and it had been recently repaired. 1 out of 4 staff stated the A/C was working at all times. During the facility’s tour LPA observed the temperature was adequate in the lower level. However, while in the second level the temperature was hotter than the rest of the building in the right side of the building. Per staff those rooms were empty at the time. Although, the facility repaired the A/C. The facility’s A/C was out of order for more than 2 days, no fans were offered or the option to move rooms was given to the clients in care.

Based on LPAs observations and interviews which were conducted record review(s), the preponderance of evidence standard has been met, therefore the above allegation(s) is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 and Chapter 1 being cited on the attached LIC 9099D.

Exit interview was conducted and a copy of this report, LIC 9099D, and appeal rights were provided.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 28-AS-20230718091450
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: ANEW DAWN ADULT LIVING
FACILITY NUMBER: 198603634
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/23/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/30/2024
Section Cited
CCR
80076(a)(6)
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80076 Food Services: (a) In facilities providing meals to clients, the following shall apply: ( 6) Modified diets prescribed by a client's physician as a medical necessity shall be provided.
This requirement is not met as evidence by:
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Adminsitrator will review physician's reports of each client and ensure that those that have special diets are included in special diet's list provided to the kitchen staff, will update the list and will submit a copy to the department by POC due date 1/30/24.
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Based on interviews, and documents reviewed Licenseed did not ensure that special diet list provided to kitchen staff was updated to include C5 for special diets which poses a potential riskt to the health, safety, or personal rights of the clients in care.
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Type B
01/30/2024
Section Cited
CCR
80087(a)
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80087 Buildings and Grounds: (a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.

This requirement is not met as evidenced by:
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Administrator will ensure that the facility's A/C is in working condition at all times and will check the thermostats daily for the next 7 days, will keep a log for each thermostat and will submit the log on 1/30/24.
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Based on interviews conducted the Licensee did not ensure the A/C was working for more than 2 days or repair timely which poses an immediate risk to the health, safety, or personal rights of the clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/23/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 7
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
07/18/2023 and conducted by Evaluator Mary G Flores
COMPLAINT CONTROL NUMBER: 28-AS-20230718091450

FACILITY NAME:ANEW DAWN ADULT LIVINGFACILITY NUMBER:
198603634
ADMINISTRATOR:DUFRENNE, PATRIA MARAVILLAFACILITY TYPE:
735
ADDRESS:4340 LOCKWOOD AVETELEPHONE:
(323) 426-9123
CITY:LOS ANGELESSTATE: CAZIP CODE:
90029
CAPACITY:94CENSUS: 59DATE:
01/23/2024
UNANNOUNCEDTIME BEGAN:
12:03 PM
MET WITH:Patria Dufrenne - Administrator TIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff switched client's primary care physician without proper notice
Staff did not provide proper medication management to client in care
Facility is unsafe for clients in care
Staff retaliated against client in care
Facility is not clean or sanitary
Staff does not treat clients with dignity and respect
Staff do not provide proper assistance to clients in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint investigation visit regarding the above allegations. LPA met with Patria Dufrenne and explained the reason for the visit.

The investigation consisted of the following: On 7/27/23 LPA conducted an initial visit. During the visit LPA conducted a tour of the facility and observed common areas, kitchen, and 7 client rooms, reviewed medication for 4 clients, interviewed clients #1-#4(C1-C4) and staff #1-#4(S1-S4), and requested copies of staff/client roster, physician's report, admission agreement, appraisal needs and care plan, medication sheet for June and July 2023, menu for 5 weeks, list of special diets, and incident reports for 5 clients. On 1/23/24 LPA delivered findings for complaint.

(CONTINUED ON LIC 9099C)
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 28-AS-20230718091450
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: ANEW DAWN ADULT LIVING
FACILITY NUMBER: 198603634
VISIT DATE: 01/23/2024
NARRATIVE
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Regarding allegation: Staff switched client's primary care physician without proper notice. It is alleged clients are required automatically to switch healthcare provider/primary physician/Psych without notice. Interviews conducted revealed 3 out of 4 clients stated to have made the choice to switch physicians upon been offered by the facility or the were offered but chose to stay with their physician. 1 out of 4 clients stated to have been assigned a physician upon arrival and didn’t know. Interviews with staff revealed the facility has an in house physician that comes to check or do visits. Clients have the option to switch or continue to see the physician of their choice.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Staff did not provide proper medication management to client in care. It is alleged client was given an unknown medication and client’s medications were thrown away by staff. Interviews with clients revealed the following, 3 out 4 clients stated their medication is provided and that there are no issues or errors with their medications. 1 out of 4 clients stated that staff have lost a client’s medication, but no medication errors were indicated. Interviews with staff revealed staff stated there have not been issues with medication. Per administrator and med-tech, C1 requested one of C1’s prescribed medication to handle self. There are no recorded dates for the request. After the medication was given to C1, C1 sold the medication and was unable to obtain refills due to insurance restrictions on refills for the specific medication. On 7/27/23 LPA reviewed medication for clients. During medication review no medication errors were observed. Although LPA did not observed the medication for C1, documents review revealed C1 is able to handle own prescribed medication per physician’s report.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Facility is unsafe for clients in care. It is alleged acts of violence resulting in Law Enforcement coming out, get swept underneath the rug or looked over. Interviews with clients revealed 3 out of 4 clients have not felt unsafe at the facility and 1 out of 4 clients stated to have felt unsafe due to arguments between clients that have taken place. Interviews with staff revealed there have been incidents between clients at the facility. However, staff have followed to either call local law enforcement or given a 30-day notice as a result of violating the house rules. Documents review revealed incident reports dated; 7/4/23, 7/6/23, and 7/17/23 report physical incidents between clients each was either follow up by calling the police, which resulted in a 5150 or by issuing an eviction letter (CONTINUED ON LIC 9099C)
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 28-AS-20230718091450
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: ANEW DAWN ADULT LIVING
FACILITY NUMBER: 198603634
VISIT DATE: 01/23/2024
NARRATIVE
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to the clients involved in the incidents. Two eviction letters were reviewed dated 7/5/23 and 7/18/23 to the clients involved in physical incidents reported in incident reports and the cause was due to breaking the house rules. Although, incidents have taken place at the facility. The facility staff have taken proper steps to prevent further incidents from occurring.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Staff retaliated against client in care. It is alleged staff abruptly requested rent from client as reprisal because a complaint had been submitted. Interviews with clients revealed clients have not been retaliated against in any way. Rent was not used as retaliation. Interviews with staff revealed facility administrator does not use rent as retaliation against the clients. Per administrator rent is determined by Department of Health Services and Department of Mental Services for each client. Therefore, they cannot give increase. Documents reviewed revealed admission agreements had a base rate per client and each admission agreement is signed and date by facility staff and client.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Facility is not clean or sanitary. It is alleged housekeeping has been observed skipping certain client rooms and rat feces have been found in laundry area. Interviews with clients revealed facility gets clean daily or at least every other day. Clients did not feel facility is unkept. Interviews with staff revealed there is a maintenance person that ensure rooms are clean and facility gets clean daily. During tour of the facility, facility was observed clean, no rat feces were observed in corner or hidden areas of the facility or laundry area.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

(CONTINUED ON LIC 9099C)
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2024
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 28-AS-20230718091450
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: ANEW DAWN ADULT LIVING
FACILITY NUMBER: 198603634
VISIT DATE: 01/23/2024
NARRATIVE
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Regarding allegation: Staff does not treat clients with dignity and respect. It is alleged there are rumors that staff are known to disrespect clients’ food/drinks. During client interviews, clients stated staff always treat clients with respect and do not feel mistreated by staff. Interviews with staff revealed staff treat clients with respect. Staff are aware clients must be treated with respect. Staff were provided training on client’s personal rights on 1/19/24.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding allegation: Staff do not provide proper assistance to clients in care. It is alleged staff is inattentive to clients in critical condition and provides minimal supervision upstairs. Interviews with clients revealed, 4 out of 4 clients stated staff provide proper care, received assistance as needed, and are checked on. Staff interviews revealed, staff provide care as needed to the clients. Documents reviewed revealed clients are ambulatory and are able to leave the facility unassisted. Facility is an adult residential facility and does not provide care for critical condition clients.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted and a copy of this report was provided.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Mary G Flores
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/23/2024
LIC9099 (FAS) - (06/04)
Page: 7 of 7