306003744-8-16-2023-22-AS-SSAS-CYBSRF-20231208130615

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306003744
Report Date: 08/16/2023
Date Signed: 08/16/2023 12:51:30 PM

Unsubstantiated

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
07/20/2023 and conducted by Evaluator Celine DePerio

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20230720142643

FACILITY NAME:	QUALITY CARE PLUS		FACILITY NUMBER:	306003744
ADMINISTRATOR:	MARJAN ARASTOO		FACILITY TYPE:	735
ADDRESS:	1652 W. BROADWAY		TELEPHONE:	(714) 635-6561
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92802
CAPACITY:	80	CENSUS: 70	DATE:	08/16/2023
		UNANNOUNCED	TIME BEGAN:	10:32 AM
MET WITH:	Facility Administrator - Marjan Arastoo		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Facility failed to provide a safe environment for clients

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced visit to the facility to deliver the findings. LPA De Perio explained the purpose of today's visit, was greeted by facility administrator (AD) Marjan Arastoo.

It was alleged that facility failed to provide a safe environment for clients. LPA De Perio conducted a total of 5 interviews with clients, of which all 5 clients did not corroborate with the allegation by stating that the facility is "good", "safe" "fine" and denied safety concerns. On 07/27/23, LPA De Perio and Licensing Program Manager (LPM) Sheila Santos conducted a tour of the physical plant of the facility, including randomized client rooms and observed no safety hazards and concerns.

Based on LPA’s interviews which were conducted, review of documents obtained, and observations, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed UNSUBSTANTIATED.
An exit interview was conducted with Arastoo. A copy of this report was provided and explained.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Celine DePerio
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2023

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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