306003744-5-10-2023-22-AS-SSAS-CRYVUX-20230519164529

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306003744
Report Date: 05/10/2023
Date Signed: 05/10/2023 01:08:37 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
05/04/2023 and conducted by Evaluator Celine DePerio

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20230504164802

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: 63	DATE:	05/10/2023
		UNANNOUNCED	TIME BEGAN:	08:32 AM
MET WITH:	Facility Administrator - Marjan Arastoo		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff do not ensure client's hygiene needs are being met
Staff do not ensure that the facility remains free of odors
Staff do not ensure a comfortable living environment for client

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced visit to the facility to initiate the 10-day visit for the complaint received on 5/4/23 and to deliver the findings. LPA De Perio was greeted by facility administrator (AD) Marjan Arastoo and explained reason for visit.

For today's visit, LPA De Perio toured the physical plant of the facility, conducted interviews with staff/clients and requested copies of pertinent records reviewed.

It was alleged that staff do not ensure client's hygiene needs are being met. LPA conducted a total of 10 interviews, of which 9 out of the 10 interviews did not corroborate with the allegation by stating that facility staff either prompt the clients to do their laundry and to shower, or, that staff will assist with laundry and showering if the client is requiring assistance. 6 out of the 10 interviews were conducted with clients, and LPA De Perio observed all 6 client's hygiene needs were met. LPA De Perio reviewed the signed house rules, facility admission agreement and physician report for client 1 (C1).

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Celine DePerio
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

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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Control Number 22-AS-20230504164802

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: 05/10/2023

NARRATIVE

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It was alleged that staff do not ensure that the facility remains free of odors. Out of the 10 interviews conducted, 7 interviews did not corroborate with the allegation by stating "there is always a staff cleaning". During the tour of the facility, LPA De Perio observed that the facility was free of odors, and observed a staff member cleaning C1's room. LPA De Perio also observed that facility was equipped with cleaning supplies and disinfectants.

It was alleged that staff do not ensure a comfortable living environment for clients. Out of the 10 interviews conducted, 6 interviews did not corroborate with the allegation by stating that the facility is "good", and 1 interview specifically stated "We have comfy beds here, and good food. I like living here". LPA De Perio observed client bedrooms to be equipped with furniture in good repair and that facility is free of any hazards.

Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegations indicated occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove or refute the alleged violations occurred; therefore, these allegations are deemed UNSUBSTANTIATED.

An exit interview was conducted with AD Arastoo and a copy of this report was provided and explained.

SUPERVISORS NAME: Luz Adams
LICENSING EVALUATOR NAME: Celine DePerio
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2023

LIC9099 (FAS) - (06/04)

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