198603770-1-14-2025-28-AS-TVAO-DDRQBE-20250210110123

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198603770
Report Date: 01/14/2025
Date Signed: 01/14/2025 05:31:55 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
01/08/2025 and conducted by Evaluator Cynthia D Chan

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250108124526

FACILITY NAME:	ALLY CARE GROUP @ HIGHLAND		FACILITY NUMBER:	198603770
ADMINISTRATOR:	ALADE, ADENIYI		FACILITY TYPE:	735
ADDRESS:	761 HIGHLAND PL		TELEPHONE:	(951) 261-1221
CITY:	SAN DIMAS	STATE: CA	ZIP CODE:	91773
CAPACITY:	6	CENSUS: 1	DATE:	01/14/2025
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Adeniyi Alade, Administrator		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

1. Staff did not safeguard resident's personal property.
2. Staff spoke inappropriately to resident.
3. Resident was not accorded dignity or respect in their relationship with staff.
4. Staff handled resident in a rough manner.
5. Staff locked resident in room.
6. Staff did not allow resident access to phone.
7. Staff discarded resident's food.
8. Staff threatened resident.
9. Staff did not provide adequate food service to resident.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Cynthia Chan conducted a complaint investigation on the allegations listed above. LPA arrived unannounced and met with administrator, Adeniyi Alade to explain the purpose of the visit.

LPA toured the facility, obtained copies of Client #1’s file, and conducted interviews with the administrator, staff, Client #1 (C1), and C1’s mother. Client #2 was not available for interview.

The investigation revealed the following:
For allegation - Staff did not safeguard client’s personal property. It is alleged that the administrator stole $10 from client #1 (C1) to buy things. Administrator Alade denied taking any money from C1 to buy items. He stated that C1 resided at the facility from 1/4/25 – 1/7/25 under respite care.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025

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 3

Control Number 28-AS-20250108124526

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: ALLY CARE GROUP @ HIGHLAND	FACILITY NUMBER: 198603770
	VISIT DATE: 01/14/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

C1 came with $10 and purchased a Bluetooth headset with own money. The facility did not receive any money from C1 to safeguard. LPA interviewed C1 who denied using own money to buy an item from the store. Based on C1’s report, C1 has a history of making false allegations/stories.

For allegations – Staff spoke inappropriately to client and Staff threatened client. The administrator and staff denied speaking to the clients inappropriately and threatening them. The administrator and staff stated that C1 did not comply with good hygiene, and therefore needed to explain the importance of having good hygiene. When C1 was asked to wash their hands after using the bathroom, C1 did not properly wash them. C1 also used foul language and threatened to punch the administrator to avoid any requests. The administrator and staff stated C1 was the one making the threats and speaking inappropriately to them.

For allegation – Client was not accorded dignity or respect in their relationship with staff. It is alleged that the administrator called C1 names referencing dirtiness. The administrator denied calling client any names. Staff did not hear anybody making any remarks or name calling. They stated they treat clients with dignity and respect. They explain things and assist with their needs. They stated clients like living at the facility.

For allegation – Staff handled client in a rough manner. It is alleged the administrator scrubbed the client very hard with a loofah that the skin turned red. The administrator stated he assisted C1 in the showers because client was not showering self. C1 agreed to the assistance. Administrator denied scrubbing the client roughly that the skin turned red. LPA interviewed the client’s mother who was told by C1 that the administrator scrubbed the skin hard. However, there were no marks observed by the mother.

For allegation – Staff locked client in the room. The administrator and staff denied locking the client in the room. C1 stated no key was provided for the room and it cannot be locked/unlocked from the inside. LPA observed all the room doors having a lock and needed a key to lock the room from the outside. The clients can lock the room from the inside as well. LPA interviewed C1 who indicated that the room cannot be opened from the inside.

For allegation – Staff did not allow client access to phone. Administrator and staff stated clients can use the phone whenever they wish. They stated C1 was allowed to use the phone and had made contact with the mother daily. The landline is placed in the second living room next to the kitchen. Staff stated they helped C1 dial the number for the person they wanted to call.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 28-AS-20250108124526

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: ALLY CARE GROUP @ HIGHLAND	FACILITY NUMBER: 198603770
	VISIT DATE: 01/14/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

For allegations – Staff discarded client’s food and Staff did not provide adequate food service to client. Administrator and staff stated they provide clients with 3 meals and snacks daily. They would ask clients what they want to eat and then make it. The administrator denied grabbing C1’s food and throwing it away. He only threw away the food that C1 chose not to eat. Staff did not observe the administrator throwing away C1’s food. In regard to the allegation that C1 was only provided a cup of noodles and a banana to take to day program, staff stated it was by choice. C1 selected those items along with a muffin and pudding to bring to program although staff offered different choices. C1 denied staff offering choices and stated there were limited food items. During the visit, LPA observed sufficient food supplies and snacks.

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.

An exit interview was conducted with the administrator. A copy of this report along with the appeal rights was provided.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/14/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/14/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3