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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306002370
Report Date: 03/16/2023
Date Signed: 03/16/2023 04:56:23 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/23/2023 and conducted by Evaluator Jerome Haley
COMPLAINT CONTROL NUMBER: 22-AS-20230223112717
FACILITY NAME:CHARIS CHATEAU, INCFACILITY NUMBER:
306002370
ADMINISTRATOR:MARIE NOELFACILITY TYPE:
735
ADDRESS:10231 DEWEY DRIVETELEPHONE:
(714) 636-6595
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY:5CENSUS: 4DATE:
03/16/2023
UNANNOUNCEDTIME BEGAN:
04:00 PM
MET WITH:Administrator Marie NoelTIME COMPLETED:
05:05 PM
ALLEGATION(S):
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Facility failed to maintain Client's P&I Records
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to investigate the above complaint allegation on March 5, 2023. LPA Haley interviewed facility Administrator (AD) Marie Noel, Staff 1 (S1), Staff 2 (S2), Client 1 (C1) and Client 2 (C2) during the initial visit. In addition to the interviews, LPA Haley and AD Noel counted the P&I funds for C1, C2, and C4. C3 handles their own money and there was nothing to count.

Regarding the allegation, Facility failed to maintain Client’s P&I records

During the initial visit LPA Haley and AD Noel counted the P&I funds for the clients and compared what was counted to the ledger. The audit of the P&I funds revealed the following: C1’s P&I funds were counted, and actual funds were $1.52 more than what was documented on the ledger.

Continued on LIC9099C
Substantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Luz AdamsTELEPHONE: (714) 222-3821
LICENSING EVALUATOR NAME: Jerome HaleyTELEPHONE: 714-703-2840
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
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 22-AS-20230223112717
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: CHARIS CHATEAU, INC
FACILITY NUMBER: 306002370
VISIT DATE: 03/16/2023
NARRATIVE
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C4’s P&I was counted, and actual funds were $14 more than what was documented on the ledger. C2’s P&I funds were counted, and actual funds matched what was documented on the ledger. After LPA Haley counted the funds, AD Noel recounting the funds to confirm what was counted was correct. After review, it was discovered, the P&I ledger for C1 and C4 was not accurate.

Based on the evidence gathered, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. Violations are being cited per California Code of Regulations Title 22, Division 6, Chapter 1.



An exit interview was conducted and a copy of this report, LIC9099D, and appeal rights were provided.
SUPERVISOR'S NAME: Luz AdamsTELEPHONE: (714) 222-3821
LICENSING EVALUATOR NAME: Jerome HaleyTELEPHONE: 714-703-2840
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20230223112717
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: CHARIS CHATEAU, INC
FACILITY NUMBER: 306002370
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/16/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/16/2023
Section Cited
CCR
80026(h)(1)
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(h) Each licensee shall maintain accurate records of accounts of cash resources... entrusted to his/her care... but not limited to the following: (1) Records of clilents' cash resources maintained...which shall include a current ledger accounting...disbursements ansd balance, for each client... in chronological order.
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AD Noel states she will read and review regulation 80026: Safeguards for Cash Resources, Personal Property, and Valuables, and send LPA Haley proof of understanding via email. AD Noel will also send LPA Haley a plan outlining how the facility will safeguard clients cash resouces moving forward. POC will be emailed to LPA Haley by the close of business Friday March 24, 2023.
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The above requirement has not been met as evidenced by LPA Haley and AD Noels counting and confirmation that the P&I funds for C1 and C4 were not accurate. This poses a health and safety risk to clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Luz AdamsTELEPHONE: (714) 222-3821
LICENSING EVALUATOR NAME: Jerome HaleyTELEPHONE: 714-703-2840
LICENSING EVALUATOR SIGNATURE:

DATE: 03/16/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023
LIC9099 (FAS) - (06/04)
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