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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005891
Report Date: 06/27/2024
Date Signed: 06/27/2024 12:06:07 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
06/24/2024 and conducted by Evaluator Sean Haddad
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240624132751
FACILITY NAME:NANTUCKET HOMEFACILITY NUMBER:
306005891
ADMINISTRATOR:CANDIAS, JACOBFACILITY TYPE:
737
ADDRESS:1051 NANTUCKET ST.TELEPHONE:
(562) 267-0102
CITY:LA HABRASTATE: CAZIP CODE:
90631
CAPACITY:3CENSUS: 2DATE:
06/27/2024
UNANNOUNCEDTIME BEGAN:
07:31 AM
MET WITH:Andrea StarlingTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Staff did not adequately supervise resident.
Staff coerced resident.
INVESTIGATION FINDINGS:
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This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of investigating the above-mentioned complaint allegations. LPA met with staff Andrea Starling, discussed the purpose of the inspection, and explained the allegations. Administrator (AD) Jacob Candias appeared via telephone.

The investigation into the allegations that staff did not adequately supervise resident and staff coerced resident revealed the following: During the course of the investigation, LPA inspected the facility, interviewed AD, clients, and staff, and obtained and reviewed copies of the client roster, staff roster, and a Special Incident Report dated June 24, 2024.

Regarding the allegation that staff did not adequately supervise resident: it was alleged that on June 22, 2024, facility staff took Client #1 (C1) to the personal party of an off-duty staff member where C1 drank alcohol against doctor’s orders.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024
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 22-AS-20240624132751
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: NANTUCKET HOME
FACILITY NUMBER: 306005891
VISIT DATE: 06/27/2024
NARRATIVE
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LPA attempted to interview C1, but C1 no longer resides in the facility or in the county. LPA reviewed a Special Incident Report dated June 24, 2024, which describes the incident involving C1 drinking alcohol at the party. LPA interviewed AD who stated that on June 22, 2024, facility staff took C1 to the personal party of an off-duty staff member, C1 requested alcohol, C1 was advised by staff that it was against doctor’s orders based on C1’s medications, C1 was persistent in requesting the alcohol and stated it was their right to choose to drink alcohol against doctor’s orders, AD called C1’s Eastern Los Angeles Regional Center Service Coordinator and a Disability Rights California Clients’ Rights Advocate who advised that it is C1’s right to choose to drink alcohol as long as C1 is advised it is against doctor’s orders, C1 drank a portion of a low-alcohol wine cooler, AD notified C1’s doctor who advised no medical care was necessary and to observe C1 for any complications, and C1 had no complications or issues from the alcohol ingested. LPA interviewed the four staff who were present at the party, one of whom was off-duty at the time, and these staff corroborated the information provided by AD and further stated that C1 received the low-alcohol wine cooler from an attendee at the party, not a facility staff member, and that C1 only drank a small portion and did not become intoxicated. LPA interviewed another client who attended the party who did not corroborate the allegation. While C1 drank alcohol against doctor’s orders, C1 did not receive the alcohol from facility staff, C1 did not become intoxicated and did not have any serious complications, and the facility notified C1’s doctor immediately.

Regarding the allegation that staff coerced resident: it was alleged that on June 22, 2024, facility staff took C1 to the personal party of an off-duty staff member where C1 drank alcohol against doctor’s orders, afterwards facility staff told C1 not to tell anyone about the alcohol, and facility staff told C1 they will not bring C1 homemade food if they do not behave. LPA attempted to interview C1, but C1 no longer resides in the facility or in the county. LPA interviewed AD who could not provide information about this allegation. LPA interviewed three staff regarding this allegation and did not obtain corroborating information, with the staff in question denying the allegation. LPA interviewed two clients who did not corroborate the allegation. LPA did not obtain information corroborating the allegation.

Based on the information gathered during the investigation and review of all documents obtained, the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, these 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: Armando J Lucero
LICENSING EVALUATOR NAME: Sean Haddad
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2