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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603634
Report Date: 07/07/2023
Date Signed: 07/07/2023 12:16:55 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
06/30/2023 and conducted by Evaluator Angelica Rea
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20230630124721
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: 32DATE:
07/07/2023
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Pat Dufrenne, Administrator TIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Facility staff did not safeguard client’s personal belongings
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Rea conducted an initial complaint visit in response to the allegation listed above. LPA met with Administrator, Patricia Dufrenne and explained the reason for the visit.

Regarding the allegation that: Facility staff did not safeguard client’s personal belongings. The investigation consisted of interview(s) with Administrator, Staff #1 and Resident #1- Resident #6. LPA also obtained copies of specific documents from Resident #1's file. Administrator and Staff #1 stated that resident #1 made this allegation to them on about 6/28/23. Staff #1 stated that the facility conducted an investigation of the allegation, and interviewed the (2) residents that resident #1 accused of stealing his belongings. Staff #1 stated that both residents denied taking anything from resident #1. Administrator stated that resident #1 is currently hospitalized. Administrator and Staff #1 stated that resident #1 located the item(s) that he said had been missing, prior to being hospitalized on 7/6/23. Residents interviewed did not corroborate the allegation. 5 out of 6 residents interviewed stated that the facility does safeguard their personal belongings, and they have not had any personal belongings taken from them.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Lisa HicksTELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Angelica ReaTELEPHONE: (323) 980-4929
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
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-20230630124721
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: ANEW DAWN ADULT LIVING
FACILITY NUMBER: 198603634
VISIT DATE: 07/07/2023
NARRATIVE
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Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted and a copy of this report was provided to Administrator.
SUPERVISOR'S NAME: Lisa HicksTELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Angelica ReaTELEPHONE: (323) 980-4929
LICENSING EVALUATOR SIGNATURE:

DATE: 07/07/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/07/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2