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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603646
Report Date: 07/16/2024
Date Signed: 07/16/2024 02:03:15 PM

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
07/10/2024 and conducted by Evaluator Tena Herrera
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240710084623
FACILITY NAME:INTEGRATED LIFE LLCFACILITY NUMBER:
198603646
ADMINISTRATOR:DE LEON, CORINAFACILITY TYPE:
775
ADDRESS:10329 ARTESIA BOULEVARDTELEPHONE:
(562) 202-9942
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY:30CENSUS: 19DATE:
07/16/2024
UNANNOUNCEDTIME BEGAN:
09:17 AM
MET WITH:Catherine Bennage - AdministratorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Staff did not prevent inappropriate interaction between clients.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced complaint investigation visit regarding the above allegation. LPA Ramirez was met by Administrator Laurie Gallegos and explained the purpose of the visit.

The investigation consisted of the following: LPA obtained copies of the staff and resident rosters. Copies within Client #1's file were provided to LPA including the following: Regional Center Quarterly Conference dated 5/17/2022, Physician Report, Information about the client/emergency contact dated 2/5/2023, Individual Service Plan and Progress Report dated 5/2024, Phycological Evaluation dated 9/2014. Review of client #2's file was also reviewed (no copies were obtained by LPA). Interviews with 4 staff, 5 clients and regional center were conducted.

(continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Tena Herrera
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-20240710084623
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: INTEGRATED LIFE LLC
FACILITY NUMBER: 198603646
VISIT DATE: 07/16/2024
NARRATIVE
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The investigation revealed the following:
Allegation: Staff did not prevent inappropriate interaction between clients.
It is alleged that Client #2 (C2) inappropriately touched C1 while giving C1 a hug and touched their buttocks. LPA interviewed 4 staff and each denied the above allegation. Interviews with Staff #1 (S1) and S2 revealed that law enforcement has investigated this allegation and investigation was left inconclusive. Interview with S3, who worked directly with C1 the day of the alleged incident, stated that they did not see the two individuals have any interactions that day, that the group was 3 clients/2 staff and were on an outing during that day, once returned to the facility clients were in the cafeteria with no other clients and C2 was not within the group for the day. S4 who works directly with C2 states that they have never observed any interactions with the two individuals where they would be close enough to touch one another, however, does recall a day (unsure of exact date) where C1 asked C2 if they could sit by them and C2 did not want C1 to sit next to them answering in a rude way, redirection and reminders of being kind when responding to people were given to C2, there were no further incidents besides this. LPA reviewed file for C2 and there was no history of inappropriate touching or interactions of this sort documented within file, additionally, staff interviewed also confirmed that they have never witnessed or heard of C2 touch anyone inappropriately. LPA reviewed C1's file, there were notes within file of fabrication and reports of false allegations when C1 is upset or does not get their way. LPA interviewed 5 clients and 5 out of 6 clients stated that they have never been inappropriately touched by peers or staff at facility and feel safe at the facility. Interview with C2, they denied the above allegation and stated that they have never touched anyone in any private areas and do not know who C1 is.

Based on statements and interviews conducted with staff and clients, and review of client files, there was not enough supportive evidence to concur with the reported allegation. 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 held, and a copy of this report was provided.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Tena Herrera
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