198603634-1-21-2025-28-AS-RORN-DD7UFP-20250123143302

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603634
Report Date: 01/21/2025
Date Signed: 01/21/2025 02:47:10 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
01/14/2025 and conducted by Evaluator Glenn Trueman

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250114101116

FACILITY NAME:	ANEW DAWN ADULT LIVING		FACILITY NUMBER:	198603634
ADMINISTRATOR:	DUFRENNE, PATRIA MARAVILLA		FACILITY TYPE:	735
ADDRESS:	4340 LOCKWOOD AVE		TELEPHONE:	(323) 426-9123
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90029
CAPACITY:	94	CENSUS: 76	DATE:	01/21/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Assistant Administrator Glacie San Juan		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff will not allow client to be re-admitted to the facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Glenn Trueman conducted an unannounced 10 day complaint visit at the facility and met with Assistant Administrator Glacie San Juan to discuss the purpose for todays visit.
The purpose of the visit is to investigate the above allegation.
Investigation consisted of: Facility submitted a copy of the resident roster, staff roster. LPA interviewed Assistant Administrator and Staff S1- S3.
Client's C1- C7 were interviewed. Facility doctor was interviewed.
LPA reviewed Client C1's file and the Facility submitted the face sheet for Client C1, appraisal needs and services plan, hospital documentation and physicians report.
The investigation revealed: Regarding the allegation Staff will not allow client to be re-admitted to the facility, based on interviews conducted and information gathered it was revealed by Facility Doctor that Client C1 had a spinal fracture and needed to be cleared thru physical therapy. Stated he spoke to the hospital social worker initially 01/13/25 and Client C1 was not cleared. One week later he spoke to the doctor at the hospital and he was cleared. Client C1 was admitted back to the facility on 01/20/25. Also stated that they are always

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025

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-20250114101116

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: 01/21/2025

NARRATIVE

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happy to take clients back, but with a spinal injury a higher level of care would be needed until Client C1 would be able to be readmitted.
Interview with Client C1 who stated he just got back to the facility last nite and he did physical therapy at the hospital.
Stated that the hospital didn't talk to him about coming back to the facility until yesterday.
Said he has to take his medication and put a patch on his back.
Spoke with representative from the hospital who stated that he knows Client C1 was returned to the facility last night, but does not know what transpired from admission to discharge and only knows that he was cleared and returned 01/20/25.
Interview with Assistant Administrator who stated that Client C1 had a lower back injury and he had physical therapy and was cleared to come back yesterday 01/20/25.
Said they always accept clients back, but with a spinal injury they need approval from the facility doctor.
Spoke with Staff S1 who stated that initially Case Manager from DMH contacted the facility doctor who said Client C1 can't come back with spinal injury and needs more therapy.
After a week Client C1 was cleared to come back after physical therapy at the hospital.
Spoke with Staff S2 who stated that discharging a patient they take back right away. If there is a medical condition such as a fracture they have to confirm with the facility doctor first. They want to make sure that Client C1 was fully recovered.
On 01/20/25 the hospital called and said physical therapy was completed and Client C1 could return.
Hospital also did a referral for Home Health to be provided for Client C1.
Interview with Staff S3 who stated that because of Client C1's spinal injury he would need more care.
Facility doctor communicated with the Case Manager and said Client C1 needed more care before being cleared to return to the facility.
Interview with Client's C1- C7 who all stated that staff provides medical assistance promptly and whenever needed.
Client C2 stated that he stayed overnight at the hospital and the facility accepted him back right away.
Client C6 stated that he witnessed a client having a seizure and the staff were right there immediately providing medical assistance.

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 conducted.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/21/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2025

LIC9099 (FAS) - (06/04)

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