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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306003744
Report Date: 07/26/2022
Date Signed: 07/26/2022 11:45:43 AM

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
02/14/2022 and conducted by Evaluator Sean Haddad
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20220214142207
FACILITY NAME:QUALITY CARE PLUSFACILITY NUMBER:
306003744
ADMINISTRATOR:MARJAN ARASTOOFACILITY TYPE:
735
ADDRESS:1652 W. BROADWAYTELEPHONE:
(714) 635-6561
CITY:ANAHEIMSTATE: CAZIP CODE:
92802
CAPACITY:80CENSUS: 64DATE:
07/26/2022
UNANNOUNCEDTIME BEGAN:
10:54 AM
MET WITH:Marjan ArastooTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff did not prevent residents from engaging in inappropriate behaviors
Staff are not providing a safe comfortable environment for residents
INVESTIGATION FINDINGS:
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This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of delivering findings for the investigation into the above identified complaint allegations. LPA met with Administrator (AD) Marjan Arastoo and explained the reason for today’s inspection.
The investigation into the allegations that Staff did not prevent residents from engaging in inappropriate behaviors and staff are not providing a safe comfortable environment for residents revealed the following: During the course of the investigation, LPA conducted 3 inspections, conducted health and safety checks on residents, interviewed AD and 9 residents, and obtained and reviewed copies of the resident roster, staff roster, staff schedule, and resident files.
In interviews, AD corroborated that Resident #1 (R1), Resident #2 (R2), and Resident #3 (R3) all engage in inappropriate behaviors. Per AD, R1 wanders into other residents’ rooms, yells and screams, talks to voices that are not there (sometimes with violent words), sometimes smokes marijuana, and the facility has received complaints about R1 from other residents.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
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 5
Control Number 22-AS-20220214142207
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: QUALITY CARE PLUS
FACILITY NUMBER: 306003744
VISIT DATE: 07/26/2022
NARRATIVE
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7 residents interviewed corroborated that R1 engages in inappropriate behaviors and multiple residents interviewed stated that R1 has hit other other residents in the past. Per AD, R2 does drugs outside the facility, vandalizes their room, is abusive to other residents, is loud, slams doors, and the facility has received complaints about R2 from other residents. 5 residents interviewed corroborated that R2 engages in inappropriate behaviors and multiple residents interviewed stated that R2 has a history of drug use, screaming, threatening, and other disruptive behaviors. Per AD, R3 wanders into other residents’ rooms, steals toilet paper, and engages in other inappropriate behaviors. 5 residents interviewed corroborated that R3 frequently clogs and floods the plumbing, refuses to bathe, has set a fire in the bathroom, yells, and that residents have complained to the facility about R3’s inappropriate behaviors. AD stated that the facility has in the past served eviction notices on R1, R2, and R3, but did not follow through with legal evictions and therefore allowed these residents to continue to live at the facility despite engaging in appropriate and disruptive behaviors.
During inspections, LPA observed that the facility’s food portions are medium to large sized and observed a general balance in dietary requirements. LPA observed 1 staff at the front door of the building acting as a security guard, signing residents in and out of the facility. LPA observed 1 staff coordinating activities and engaging with residents along with a posted activity calendar. LPA observed the kitchen to be clean and organized and observed no health and safety issues. LPA inspected the first floor, second floor, kitchen, laundry room, resident rooms, common areas, and bathrooms and observed no health and safety issues. 3 residents interviewed stated that the facility is a safe and comfortable place to live. However, 4 residents interviewed stated they did not feel safe and comfortable living at the facility due to the behaviors of R1, R2, and R3 and similar behavior. 2 residents stated they are afraid of R1, R2, and R3 and that they have been hit by other residents at the facility. By allowing R1, R2, and R3 to continue living at the facility, the facility did not provide a safe and comfortable environment for other residents.
During the course of the investigation, the Department obtained sufficient evidence to substantiate the allegations mentioned above. The preponderance of evidence standard has been met; therefore, the above allegations are Substantiated. See LIC9099D for cited deficiencies per Title 22 Division 6 of the California Code of Regulations. Based on review of the facility's compliance history, which revealed the licensee was cited for the same violation within the last 12 months, civil penalties in the amount of $250 per repeat violation are being assessed. Civil penalties of $100 per day, per violation will accrue until the deficiencies are corrected. See LIC421FC. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 22-AS-20220214142207
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: QUALITY CARE PLUS
FACILITY NUMBER: 306003744
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/26/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/27/2022
Section Cited
CCR
80072(a)(2)
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80072 Personal Rights (a) … each client shall have personal rights which include … (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs. This requirement was not met as evidenced by:
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Licensee stated that R1 and R2 no longer reside at the facility; Licensee stated they will initiate a legal eviction proceeding against R3 and submit proof of the filing of the proceeding to LPA by 9/26/22.
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Based on interviews, the licensee did not provide a safe and comfortable environment for other residents by allowing R1, R2, and R3 to continue to engage in inappropriate behaviors at the facility, which poses an immediate safety and personal rights risk to persons in care.
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CIVIL PENALTY ASSESSED
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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.
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5