331800150-11-26-2024-56-AS-EMAN-DBKQTP-20241202112727

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800150
Report Date: 11/26/2024
Date Signed: 11/26/2024 03:21:44 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, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/10/2024 and conducted by Evaluator Melody Brown

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20240710100342

FACILITY NAME:	NEW HORIZONS		FACILITY NUMBER:	331800150
ADMINISTRATOR:	PEREZ, MA TERESA V		FACILITY TYPE:	740
ADDRESS:	7550 RUDELL ROAD		TELEPHONE:	(951) 531-8048
CITY:	CORONA	STATE: CA	ZIP CODE:	92881
CAPACITY:	15	CENSUS: 15	DATE:	11/26/2024
		UNANNOUNCED	TIME BEGAN:	01:30 AM
MET WITH:	House Manager Eldalin De Deugd		TIME COMPLETED:	03:30 PM

ALLEGATION(S):

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Staff left resident soiled for an extended period of time.
Staff does not ensure resident's hygiene needs are being met.
Staff does not ensure resident is provided clean clothing.

INVESTIGATION FINDINGS:

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On 11/26/2024 at 01:30 PM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility to deliver the findings of the above allegations. LPA Brown met with a staff and explained the purpose of the visit. Staff contacted Licensee/Administrator Maria Teresa Perez and informed of the visit. House Manager Eldalin De Deugd arrived during the visit. LPA Brown explained the purpose of the visit to House Manager De Deugd. The investigation consisted of file review, interviews with staff and residents as well as observation.

The investigation was conducted by LPA Brown. The investigation consisted of observation, file review and interviews with relevant parties. The allegation indicates staff left resident soiled for an extended period of time. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with five (5) of five (5) residents indicated that staffs at the facility are checking on them three (3) to four (4) times in a day if staff needs to change their diaper or if they need assistance. ***Continuation in LIC9099C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Melody Brown	TELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:	DATE: 11/26/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024

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 56-AS-20240710100342

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME: NEW HORIZONS	FACILITY NUMBER: 331800150
	VISIT DATE: 11/26/2024

NARRATIVE

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Five (5) of five residents interviewed reported that they do not know of an incident where a staff at the facility left them or any resident in a soiled diaper for extended period of time. Interview with Resident #1 (R1) revealed that staffs at the facility are changing R1's diaper three (3) or four (4) times in a day and there's no incident that R1 was left in a soiled diaper for a an extended period of time. Interviews with five (5) of five (5) staff indicated that they are all checking on their residents every two (2) hours, sometimes more often if needed so they will know if they need to change their residents diaper or if they need help. Five (5) of five (5) staff interviewed stated that they never left any resident at the facility in a soiled diaper for an extended period of time and no incident happened at the facility that R1 was left in a soiled diaper for extended period of time. During the facility visit on 07/15/2024 and today's visit, 11/26/2024, LPA Brown observed staffs at the facility are checking on residents if staff needs to change their diaper or if they need assistance.

The second allegation indicates staff does not ensure resident's hygiene needs are being met. Interviews with five (5) of five (5) residents indicated that staffs at the facility are making sure that their hygiene needs were being met as staffs are giving them showers two (2), three, or four (4) times in a week. Five (5) of five residents interviewed reported that staffs at the facility are making sure that their hair are neatly comb, that they brush their teeth, that their nails were trimmed. R1 reported to LPA Brown that staffs at the facility are always making sure that they are meeting R1's hygiene needs even though sometimes R1 said that R1's being difficult to the staffs at the facility. Interviews with five (5) of five (5) staff indicated that they are all ensuring that they are meeting the hygiene needs of all their residents, that they are giving them showers, they all make sure that they all brush their teeth, that they put moisturizer or lotion on them, that their hair were neatly comb. Five (5) of five (5) staff interviews stated that there's no incident that happened at the facility that a staff did not ensure that R1's hygiene needs are being met or any resident's hygiene needs are being met. During the facility visit on 07/15/2024 and today's visit, 11/26/2024, LPA Brown observed residents at the facility were all clean, neatly combed and appeared that their hygiene needs were being met.
The third allegation indicates staff does not ensure resident is provided clean clothing. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with five (5) of five (5) residents indicated that staff at the facility are ensuring that they were provided clean clothing as all five (5) of five residents interviewed reported that they are all wearing clean clothes everyday.
***Continuation in LIC9099C***

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Melody Brown	TELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:	DATE: 11/26/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024

LIC9099 (FAS) - (06/04)

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Control Number 56-AS-20240710100342

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME: NEW HORIZONS	FACILITY NUMBER: 331800150
	VISIT DATE: 11/26/2024

NARRATIVE

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Interview with R1 indicated that staffs at the facility are always making sure that R1's provided clean clothing, that staffs at the facility are providing R1 and assisting R1 to wear clean clothes everyday. Interviews with five (5) of five (5) staff indicated that they are all ensuring that all their residents were provided clean clothing everyday. Five (5) of five (5) staff interviews reported that they are washing their residents clothes everyday to make sure that they will all wear clean clothes everyday. During the facility visit on 07/15/2024 and today's visit, 11/26/2024, LPA Brown observed residents at the facility are all wearing clean clothes.

Based on interviews, observations and records review, the allegations staff left resident soiled for an extended period of time (Allegation #1), staff does not ensure resident's hygiene needs are being met (Allegation #2), and staff does not ensure resident is provided clean clothing (Allegation #3) are UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted, where this report (LIC9099) was discussed and provided to House Manager Eldalin De Deugd.

SUPERVISOR'S NAME: Efren Malagon	TELEPHONE: (951) 202-6356
LICENSING EVALUATOR NAME: Melody Brown	TELEPHONE: 951-897-2187
LICENSING EVALUATOR SIGNATURE:	DATE: 11/26/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/26/2024

LIC9099 (FAS) - (06/04)

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