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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603634
Report Date: 07/16/2024
Date Signed: 07/16/2024 02:23:30 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
07/09/2024 and conducted by Evaluator Angelica Rea
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240709132955
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: 74DATE:
07/16/2024
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Richard Tan - House manager TIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Staff allow residents to use an unknown drug substance.
Staff yell at residents in care.
Staff do not provide adequate supervision.
Staff do not provide adequate food service.
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 House Manager, Richard Tan and explained the reason for the visit.

On today's visit, LPA interviewed Staff #1- Staff #3, Facility Dietician, Resident #1- Resident #7, toured facility kitchen including food supply, reviewed and obtained copy of facility menu, obtained copies of resident and staff roster, and obtained copy of log documenting staff rounds.

Regarding the allegation that : Staff allow residents to use an unknown drug substance. Staff interviewed denied the allegation. 3 out of 3 staff interviewed stated that the faciity house rules specifically state that drugs are not allowed in the facility. 3 out of 3 staff stated that if residents are found with drugs, they are given warning(s) and reminded that drug use is not permitted at the facility. Staff stated that residents who do not follow the rules, will eventually receive an eviction notice, after the warnings are given, if they do not comply with the house rules.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
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 2
Control Number 28-AS-20240709132955
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: 07/16/2024
NARRATIVE
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Residents interviewed were unable to corroborate the allegation. 7 out of 7 residents interviewed stated that staff do not allow residents to use drugs at the facility. They stated that they are aware that it is against the facility rules.

Regarding the allegation that : Staff yell at residents in care. Staff interviewed denied the allegation. 3 out of 3 staff interviewed stated that staff speak to residents in a professional and respectful manner. Residents interviewed were unable to corroborate the allegation. 7 out of 7 residents interviewed stated that staff do not yell at residents. 7 out of 7 residents interviewed stated that staff speak to residents in a respectful manner.

Regarding the allegation that : Staff do not provide adequate supervision. Staff interviewed denied the allegation. 3 out of 3 staff interviewed stated that staff do provide sufficient supervision. Staff interviewed stated that staff do hourly rounds, and check on all of the residents. LPA observed that the staff document their hourly check- ins, and obtained a copy during today's visit. Residents interviewed were unable to corroborate the allegation. 7 out of 7 residents interviewed, stated that staff provide enough supervision.

Regarding the allegation that : Staff do not provide adequate food service. Staff interviewed denied the allegation. LPA interviewed facility dietician and staff #1 - staff #3. Facility dietician stated that the menu that they create for the facility, includes hot or cold cereal and a protein, and starch for breakfast. The dietician stated that the facility always has fruit available. LPA observed that the facility had an adequate amount of perishable and non-perishable food during today's visit. Staff interviewed denied the allegation. 3 out of 3 staff interviewed stated that the staff provide sufficient food to residents at the facility. Staff stated that they offer three meals per day, and 3 snacks per day. Staff stated that they offer second servings to residents who request it. Residents interviewed were unable to corroborate the allegation. 7 out of 7 residents interviewed stated that the facility provides them with enough food, and also provide them with seconds if they request it.

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 was conducted with Mr. Tan and a copy of this report was provided.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2