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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005941
Report Date: 10/09/2024
Date Signed: 10/09/2024 12:17:52 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 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
10/08/2024 and conducted by Evaluator Jerome Haley
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20241008165736
FACILITY NAME:HORWITZ FAMILY HOUSEFACILITY NUMBER:
306005941
ADMINISTRATOR:MCDONALD, LISAFACILITY TYPE:
735
ADDRESS:1621 PORTOLA AVENUETELEPHONE:
(818) 782-2211
CITY:SANTA ANASTATE: CAZIP CODE:
92705
CAPACITY:6CENSUS: 1DATE:
10/09/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Ivy ContrerasTIME COMPLETED:
12:35 PM
ALLEGATION(S):
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Staff did not ensure that the facility is maintained in good repair.
Staff did not ensure that a comfortable temperature was maintained in all areas of the facility.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to begin the investigation into the complaint allegations above. LPA was greeted by staff and explained the reason for the visit upon entry. The complaint investigation consisted of interviews with facility staff, a facility client, a witness, and LPA observations.

Regarding the complaint allegation: Staff did not ensure that the facility is maintained in good repair.

During the investigation, 3 of 4 individuals interviewed confirmed the air condition (AC) unit in the facility was not working properly. According to Staff 1 (S1) and Witness 1 (W1) the AC unit itself was working; however, duct work needed to be done on the AC unit because the second level of the facility was not staying cool. A temporary AC unit was placed in one of the clients bedrooms on the second floor and fans were being used on the second level of the facility.
Continued on LIC9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
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 3
Control Number 22-AS-20241008165736
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: HORWITZ FAMILY HOUSE
FACILITY NUMBER: 306005941
VISIT DATE: 10/09/2024
NARRATIVE
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According to a staff member, as soon as the weather began to heat up in about April, it was discovered the AC unit was not working properly. The AC unit was not cooling the second floor like it was cooling the first floor.

Regarding the complaint allegation: Staff did not ensure that a comfortable temperature was maintained in all areas of the facility.

3 of 4 individuals interviewed, confirmed the second floor of the facility was significantly warmer that the first level of the facility due to the AC issue. According to S1, a temporary AC unit was placed in the one of the client bedrooms because the fan was just blowing in hot air. During two additional interviews it was discovered fans were purchased and being used upstairs due to the AC not properly cooling the second level of the facility.

Based on the evidence gathered through interviews, document review and observations, the preponderance of evidence standard has been met, therefore, the above allegations are found to be SUBSTANTIATED. Violations are being cited per California Code of Regulations Title 22.

An exit interview was conducted, and a copy of this report, and appeal rights were provided.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 22-AS-20241008165736
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: HORWITZ FAMILY HOUSE
FACILITY NUMBER: 306005941
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/09/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/11/2024
Section Cited
CCR
80087(a)
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80087 Buildings and Grounds
(a) The facility shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees, and visitors.
The requirement has not been met as evidenced by:
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The air conditioning is being repaired as this report is being completed. No further action is needed. Administrator Contreras will email LPA Haley a receipt of the repair work that was completed by 1:00pm on the POC due date.
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Based on interview confirmation, the air conditioning unit was not properly cooling the second level of the facility. Fans and a portable AC unit was being used on the second level of the facility.
This poses a potential health, safety, and personal rights risk to clients in care.
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Type B
10/11/2024
Section Cited
CCR
80088(a)
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80088 Furniture, Fixtures, Equipment, and Supplies
(a) A comfortable temperature for clients shall be maintained at all areas.
This requirement is not being met as evidenced by:
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The air conditioning is being repaired as this report is being completed. No further action is needed. Administrator Contreras will email LPA Haley a receipt of the repair work that was completed by 1:00pm on the POC due date.
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Based on interview confirmation, the air conditioning unit was not properly cooling the second level of the facility. Fans and a portable AC unit was being used on the second level of the facility.
This poses a potential health, safety, and personal rights 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: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:

DATE: 10/09/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3