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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306006076
Report Date: 10/14/2024
Date Signed: 10/14/2024 01:01:13 PM

Unsubstantiated


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
10/10/2024 and conducted by Evaluator Kevin Saborit-Guasch
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20241010171138
FACILITY NAME:BENARD HOME 1FACILITY NUMBER:
306006076
ADMINISTRATOR:ANGELITO AGUILARFACILITY TYPE:
735
ADDRESS:11142 WAKEFIELDTELEPHONE:
(310) 612-1611
CITY:GARDEN GROVESTATE: CAZIP CODE:
92840
CAPACITY:6CENSUS: 4DATE:
10/14/2024
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Amy Atrero, AdministratorTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Licensee does not ensure that staff are adequately trained.
INVESTIGATION FINDINGS:
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On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of conducting the initial investigation into the allegation listed above. LPA was greeted and granted entry by facility direct service staff after introducing himself and stating the purpose of the visit. Administrator Amy Atrero was notified of the visit via telephone and arrived later on the premises to assist.

During the visit, LPA reviewed the facility's current staff schedule, staff roster and reviewed staff training records for 11 currently employed staff members. Background clearance and staff association status for all current staff members was also verified and found to be in compliance at the time of the visit. Three staff interviews were additionally conducted during the visit.

Regarding the allegation that Licensee does not ensure that staff are adequately trained, the following has been concluded:
CONTINUED ON FORM LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2024
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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Control Number 22-AS-20241010171138
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: BENARD HOME 1
FACILITY NUMBER: 306006076
VISIT DATE: 10/14/2024
NARRATIVE
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CONTINUED FROM FORM LIC9099
Based on interviews and a review of available training records, all currently employed staff members were found to meet the training requirements from Title 22 of the California Code of Regulations. All personnel was verified to have received on-the-job training upon hiring orientation. Additionally, attendance to the monthly in-service training allowed LPA to verify all current staff members were receiving continuing education on their job duties. Yearly medication administration training is also provided by the Fullerton Express Pharmacy and all in-service trainers are clearly identified. All current staff members with over a year of employment are verified to have met either the requirements of DSP Year One or Year Two training and/or the requirements to be certified as an Adult Residential Facility Administrator. All staff members were verified to have current CPR and CPI training at the time of the visit. Additionally, eligible staff members with active DSP training recently enrolled in Continued Education as part of the CalGROWS program for career growth purposes. Attendance and completion records for relevant staff members were requested and obtained, however this training was not necessary to meet the ongoing training requirements for facility staff.

As a result, the allegation is found to be Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted and a copy of this report was provided to facility.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Kevin Saborit-Guasch
LICENSING EVALUATOR SIGNATURE:

DATE: 10/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/14/2024
LIC9099 (FAS) - (06/04)
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