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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603721
Report Date: 11/22/2024
Date Signed: 11/22/2024 03:42:32 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
11/18/2024 and conducted by Evaluator Kimberly Ramirez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20241118145820
FACILITY NAME:CRT PROGRAMS - DOWNEYFACILITY NUMBER:
198603721
ADMINISTRATOR:STORY, LAWRENCEFACILITY TYPE:
772
ADDRESS:7765 LEEDS ST RTP-ETELEPHONE:
(310) 709-7355
CITY:DOWNEYSTATE: CAZIP CODE:
90242
CAPACITY:16CENSUS: 5DATE:
11/22/2024
UNANNOUNCEDTIME BEGAN:
10:11 AM
MET WITH:Dr.Ghodsian and Nicole Nehoraoff TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff do not ensure that client's receive assistance with arranging transportation to medical appointments.
Facility menu is not available.
Food served is not of good quality.
Staff do not ensure that client's have hot water.
Staff are not providing client's with community outings.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent complaint investigation visit on 10/02/2024 regarding the above allegations. LPA Ramirez was greeted by Medical Director- Dr. Ghodsian and Clinical Director- Nicole Nehoraoff, explained the purpose of the visit.

The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client roster, staff roster, Staff#1 - 3 interviews (S1 – S3), Interview of Client#1-5 (C1-C5), copies of Client#1-5 (C1-C5) Treatment Plan, Client Medications list, documents related to this investigation and physical plant tour.

Serr 9099-C for continued report
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024
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-20241118145820
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: CRT PROGRAMS - DOWNEY
FACILITY NUMBER: 198603721
VISIT DATE: 11/22/2024
NARRATIVE
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The investigation revealed the following:Regarding Allegations: Staff do not ensure that client's receive assistance with arranging transportation to medical appointments. – It is alleged staff did not arrange transportation for C1’s medical appointment. During record review, LPA’s observe a medical appointment reminder for C1. LPA’s observed a Lyft receipt documenting staff arranging and paying for C1’s transportation to medical appointment. Three (3) out of the three (3) staff interviewed denied this 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.
Facility menu is not available- It is alleged the facility menu is not available. Three (3) out of the three (3) staff interviewed denied this allegation. Five (5) out of five (5) clients interviewed deny this allegation. During record review LPA’s were provided a copy of facility menu for the month of November 2024. 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.
Food served is not of good quality- It is alleged food being provided is not of good quality. During inspection of kitchen, LPA’s observed refrigerators to be operable. Food is prepared off the facility premises. LPA’s observed various salads, juices, fruits, breakfast sausages, breakfast burritos, frozen fries, eggs, butter, apple sauce and sandwiches. LPA’s did not observe mold, or spoilage of food. Three (3) out of the three (3) staff interviewed deny this allegation. Five (5) out of the five (5) clients interviewed denied this 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.
Staff do not ensure that clients have hot water- It is alleged clients in the upstairs bathrooms do not have access to hot water. During inspection of the 2nd floor bathrooms, LPA’s measured water temperatures between 105 degrees F – 120 degrees F. Three (3) out of the three (3) staff interviewed deny this allegation. Five (5) out of five (5) clients interviewed denied this 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.

Staff are not providing client's with community outings- It is alleged staff are not providing client’s with community outings. During inspection, four (4) out of the five (5) clients were having an outing at a local park. LPA’s observed a facility weekly schedule that indicates various activities scheduled for the week. 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.

No violations were observed for this investigation. Exit interview was conducted. A copy of this report was provided.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024
LIC9099 (FAS) - (06/04)
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