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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004456
Report Date: 02/29/2024
Date Signed: 02/29/2024 02:38:37 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, 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
02/27/2024 and conducted by Evaluator Angelica Rea
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240227153724
FACILITY NAME:VILLA LURENFACILITY NUMBER:
306004456
ADMINISTRATOR:BRIAN BUENVIAJEFACILITY TYPE:
735
ADDRESS:13749 E. CREWE STREETTELEPHONE:
(562) 941-3813
CITY:WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY:62CENSUS: 60DATE:
02/29/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Gloria Gibson TIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Resident sustained head lice while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Rea conducted an initial complaint visit in response to the allegation listed above. LPA met with Assistant Administrator, Gloria Gibson,who assisted with today's visit.

Regarding the allegation that : Resident #1 sustained head lice while in care. The investigation consisted of review of resident #1s file, interviews with Administrator, Staff #1 - Staff #2 and interviews with Resident #1 - Resident # 6. Resident #1's case manager was also interviewed.

The investigation revealed the following : Staff #1 stated that resident #1 went to the hospital on 2/22/24, and returned on 2/28/24. Staff interviewed stated that resident #1 had complained of having an itchy scalp prior to going to the hospital on 2/22/24. Staff #1 stated that they did a lice treatment on resident #1 on 2/18/24. Staff interviewed stated that to their knowledge, there are no other residents at the facility who have head lice. Resident #1's case manager stated that she did not have any concerns about resident #1's placement, and they are working on improving resident #1's hygiene.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024
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 2
Control Number 28-AS-20240227153724
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: VILLA LUREN
FACILITY NUMBER: 306004456
VISIT DATE: 02/29/2024
NARRATIVE
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Residents interviewed were unable to corroborate the allegation. Four out of six residents interviewed stated that they were not aware of any residents having head lice at the facility. Residents stated that they were not aware of any residents contracting head lice while at the facility.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Mr. Buenviaje and a copy of this report was provided.
NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Angelica Rea
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2