198603658-10-3-2024-28-AS-FFIS-DAK2PM-20241030173432

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603658
Report Date: 10/03/2024
Date Signed: 10/03/2024 09:48:37 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 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
07/25/2024 and conducted by Evaluator Sanjay Vaid

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240725190951

FACILITY NAME:	DIGNITY HOME CENTER INC		FACILITY NUMBER:	198603658
ADMINISTRATOR:	DUROMOLA, ADEBOWALE EVELYN		FACILITY TYPE:	735
ADDRESS:	230 E BENWOOD ST		TELEPHONE:	(626) 922-3944
CITY:	COVINA	STATE: CA	ZIP CODE:	91722
CAPACITY:	6	CENSUS: 6	DATE:	10/03/2024
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Nike Aralepo, DSP/Caregiver		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Staff used inappropriate form of discipline.
Staff did not treat resident with dignity and respect.
Staff hit resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vaid conducted an unannounced subsequent complaint visit regarding the above allegations. LPA met with Nike Aralepo and explained the purpose of the visit. Administrator was at an appointment and was not able to attend.

During the last visit on 07/30/24, requested and obtained a copy of all the clients: IPP, physicians report, face sheet. Interviewed staff #1-4, clients #3 and #6. Regional Center Service Coordinators names and contact information collected. Toured the physical plant.

On today’s visit LPA Vaid met with the DSP Nike Aralepo to deliver the findings. Conducted a physical plant tour and did not observe Health and Safety concerns. The clients were awaiting their day program transportation, LPA observed clients to be calm and excited of their day program.

Continued on 9099C............................

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024

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-20240725190951

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: DIGNITY HOME CENTER INC	FACILITY NUMBER: 198603658
	VISIT DATE: 10/03/2024

NARRATIVE

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Regarding the allegation: Staff used inappropriate form of discipline. It is alleged that the staff used inappropriate form of disciple upon the client, to punish the client for soiling themselves. Four (4) out of (4) staff interviewed deny this incident, two (2) out of (2) clients could not corroborate this incident. Two (2) out of (2) San Gabriel Pomona Regional Center service coordinators interviewed stated that the one client has history of fabricating events to get attention and does not understand the consequences for making false accusations. Based on interviews conducted, documents and records collected and reviewed. 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 allegation is unsubstantiated.

Regarding the allegation: Staff did not treat resident with dignity and respect. It is alleged that the staff are not treating the clients with respect and dignity. Four (4) out of (4) staff interviewed deny this incident, two (2) out of (2) clients could not corroborate this incident. Staff has repeated claim, they understand the behaviors and conditions of the clients. The staffs’ goal is to provide positive re-enforcement and encourage clients to be productive and able to integrate into to society. Two (2) out of two (2) San Gabriel/Pomona Regional Center service coordinator have stated their clients’ goals are to confidently integrate into society. The facility in which client’s placement has occurred is through compatibility assessment. Facility staff are providing guidance and support for all other clients that reside at the facility. Based on interviews conducted, documents and records collected and reviewed. 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 allegation is unsubstantiated.

Regarding the allegation: Staff hit resident. It is alleged that the staff hit C1, when C1 soiled themselves, the staff become upset. The staff put C1 under a cold shower to wash the soiled matter from their body and hit C1 when C1 complains of water temperatures being cold. Four (4) out of (4) staff interviewed deny this incident, two (2) out of (2) clients could not cooborate this incident. Two (2) out of (2) San Gabriel Pomona Regional Center service coordinators interviewed stated that client C2 has history of fabricating events to get attention and does not understand the consequences for making false accusations and of the repercussions. C1’s service coordinator stated they interviewed their client during Regional Center Investigation. C1 did not make these accusations. Based on observations made, interviews conducted, documents and records collected and reviewed. 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 allegation is unsubstantiated.
An exit interview was conducted and copy of report was left with the DSP Nike Aralepo.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Sanjay Vaid
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 10/03/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024

LIC9099 (FAS) - (06/04)

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