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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005557
Report Date: 07/10/2024
Date Signed: 07/10/2024 11:00:39 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
07/03/2024 and conducted by Evaluator Kimberly Lyman
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240703161739
FACILITY NAME:BRIDGES CARE HOMESFACILITY NUMBER:
306005557
ADMINISTRATOR:JABONERO, JANICEFACILITY TYPE:
735
ADDRESS:441 N COLFAX STTELEPHONE:
(714) 975-3025
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:4CENSUS: 3DATE:
07/10/2024
UNANNOUNCEDTIME BEGAN:
07:18 AM
MET WITH:Mireya Contreras and Mike HatfieldTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Staff did not treat client with dignity and respect
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, LPA toured the facility and interviewed staff and clients as well as reviewed and obtained pertinent documentation such as training records. Regarding the allegation that staff did not treat client with dignity and respect, the investigation revealed the following: Three out of three clients confirmed Staff 1 (S1) raises voice during interactions with them. Four out of four staff indicate S1 speaks with a loud tone of voice when interacting with clients. Staff indicate that S1 has a loud voice but does not mean harm. Two out of three clients confirm an incident when S1 raised voice and wanted a client to participate in cleaning incontinence. On 04/27/2024, facility clients and staff took a trip to the LA Zoo. Two out of three clients state Client 1 (C1) had difficulty walking but no wheelchair was provided. Facility provided a two wheeled walker instead and staff confirm the client had difficulty walking. Based on interviews conducted, the preponderance of evidence CONTINUED ON LIC 9099C DATED 07/10/2024
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
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 5
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
07/03/2024 and conducted by Evaluator Kimberly Lyman
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240703161739

FACILITY NAME:BRIDGES CARE HOMESFACILITY NUMBER:
306005557
ADMINISTRATOR:JABONERO, JANICEFACILITY TYPE:
735
ADDRESS:441 N COLFAX STTELEPHONE:
(714) 975-3025
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:4CENSUS: 3DATE:
07/10/2024
UNANNOUNCEDTIME BEGAN:
07:18 AM
MET WITH:Mireya ContrerasTIME COMPLETED:
11:20 AM
ALLEGATION(S):
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Staff did not assist client with their ADLs
Staff did not provide nutritious, well balanced meals
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit.
During the course of the investigation, LPA toured the facility and interviewed staff and clients. Regarding the allegations that staff did not assist client with their ADLs and staff did not provide nutritious, well balanced meals, the investigation revealed the following: Three out of three clients confirm staff are there to assist with activities of daily living. Staff assist with showering, cleaning, food service and toileting as necessary. LPA observed the food supply during the visit. There is ample food supply including 2 day supply of perishables including fresh vegetables. Four out of four staff confirm meals are cooked fresh for the most part while two out of three clients state meals are not always cooked from scratch. Based on the information gathered during the investigation, the Department is unable to ascertain if the above allegations occurred. Although the allegations may have happened or are valid, CONTINUED ON LIC 9099C DATED 07/10/2024
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 22-AS-20240703161739
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: BRIDGES CARE HOMES
FACILITY NUMBER: 306005557
VISIT DATE: 07/10/2024
NARRATIVE
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there is not a preponderance of evidence to prove the alleged violations occurred; therefore, the allegations are deemed Unsubstantiated. An exit interview was conducted and a copy of this report was discussed with and provided to facility representative.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 22-AS-20240703161739
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: BRIDGES CARE HOMES
FACILITY NUMBER: 306005557
VISIT DATE: 07/10/2024
NARRATIVE
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standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations, Title 22, Division 6 and Chapter 1 are being cited on the attached LIC 9099D.

Exit interview conducted and a copy of this report along with appeal rights was provided to facility representative.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 22-AS-20240703161739
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: BRIDGES CARE HOMES
FACILITY NUMBER: 306005557
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/10/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
07/11/2024
Section Cited
HSC
80072(a)(1)
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Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:
To be accorded dignity in his/her personal relationships with staff and other persons. This requirement is not being met as evidenced by:
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Licensee to provide an in-service to staff on personal rights and forward proof to LPA by POC due date.
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Based on interviews conducted, the licensee failed to ensure clients are treated with dignity and respect. Three out of three clients confirm S1 raises voice when interacting with them and is disrespectful. This poses an immediate health and safety risk to clients in care.
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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: Alisa Ortiz
LICENSING EVALUATOR NAME: Kimberly Lyman
LICENSING EVALUATOR SIGNATURE:

DATE: 07/10/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2024
LIC9099 (FAS) - (06/04)
Page: 5 of 5