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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004767
Report Date: 07/12/2022
Date Signed: 07/12/2022 11:04:52 AM

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
07/22/2020 and conducted by Evaluator Michelle Reed
COMPLAINT CONTROL NUMBER: 22-AS-20200722153753
FACILITY NAME:ABOVE ALL CARE 2FACILITY NUMBER:
306004767
ADMINISTRATOR:NICOLAS OUDINOTFACILITY TYPE:
740
ADDRESS:1255 BERING STREETTELEPHONE:
(310) 994-9181
CITY:PLACENTIASTATE: CAZIP CODE:
92870
CAPACITY:6CENSUS: 5DATE:
07/12/2022
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Licensee Nicolas OudinotTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
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9
Facility staff are allowing Resident #1 to violate other residents rights
INVESTIGATION FINDINGS:
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2
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5
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11
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13
Licensing Program Analyst (LPA) Michelle Reed met with Licensee Nicolas Oudinot to discuss the complaint findings for the above allegation. The investigation consisted of interviews with Administrator, staff and witnesses as well as documentation from the facility. LPA attempted to interview residents but due to their diagnosis and cognitive impairment they could not be interviewed.The following was determined:
Resident #1(R1) moved into the facility on 11/19/19. R1 is Non-ambulatory, has Dementia and needs assistance with all Activities of Daily Living. R1 has a tendency to get angry when things do not go her way and will yell, scream and throw things. Staff stated that they redirect R1 when she yells and throws tantrums and R1 has never been physically aggressive and hurt other residents. A review of records disclosed that R1’s behaviors have been brought to the attention of R1’s Doctor’s for solutions. Based upon interviews, the allegation is unsubstantiated, meaning that 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. Licensee was reminded that residents’ should not violate other residents’ rights and that the compatibility of residents’ should always be considered before choosing to accept a resident. An exit interview was conducted and a copy of this report was provided to Licensee Nicolas Oudinot.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Sheila SantosTELEPHONE: (714) 703-2857
LICENSING EVALUATOR NAME: Michelle ReedTELEPHONE: (714) 743-4958
LICENSING EVALUATOR SIGNATURE:

DATE: 07/12/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/12/2022
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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