331880585-11-27-2024-18-AS-JDHS-DBSTFD-20241209134119

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880585
Report Date: 11/27/2024
Date Signed: 11/27/2024 09:43:45 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

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

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/25/2024 and conducted by Evaluator Armando Perez

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20241025152608

FACILITY NAME:	COOL MEADOW CARE		FACILITY NUMBER:	331880585
ADMINISTRATOR:	PENDING		FACILITY TYPE:	740
ADDRESS:	29787 COOL MEADOW DR		TELEPHONE:	(951) 246-0214
CITY:	MENIFEE	STATE: CA	ZIP CODE:	92587
CAPACITY:	6	CENSUS: 4	DATE:	11/27/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	House Manager Liz Baclagan		TIME COMPLETED:	09:50 AM

ALLEGATION(S):

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Staff do not answer the facility telephone

INVESTIGATION FINDINGS:

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Licensing Program Analyst, (LPA) Armando Perez conducted an unannounced visit to the facility and met with House Manager Liz Baclagan . The purpose of the visit was to inform of the complaint allegation findings. During this investigation, LPA conducted interviews with Administration, staff, clients, and additional witnesses. LPA also obtained pertinent documentation in order to assist with determining the findings for the above noted allegation.

On October 25, 2024, Community Care Licensing (CCL) received a complaint alleging that the facility staff does not answer the facility telephone. It was reported that additional witness has contacted the facility numerous times in order to find out the well being of Resident #1. It was stated that the facility does not answer nor return the calls.

On October 31, 2024, LPA conducted a tour of the facility and observed an operable telephone that had a loud ring tone and is capable of recording messages. Information obtained from Administrator stated there have been no issues with the phone service or system. Administrator further stated that staff do answer all calls when able and return calls within a reasonable timeframe. Interviews with facility staff corroborated the information.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 529-2439
LICENSING EVALUATOR NAME: Armando Perez	TELEPHONE: (951) 248-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2024

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 18-AS-20241025152608

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: COOL MEADOW CARE	FACILITY NUMBER: 331880585
	VISIT DATE: 11/27/2024

NARRATIVE

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Facility staff indicated that additional witness is verbally aggressive when they contact the facility, but denied not answering the phone calls due to their behaviors. LPA interviewed Client #1 (C1) and they denied that the facility does not answer the phone. C1 stated that additional witness is verbally aggressive and yells at them over the phone during conversations. C1 indicated they often have to terminate the call and prefers not to speak with additional witness.

Based on interviews, observation, and record review, the allegation that facility staff does not answer the facility telephone is unsubstantiated. A finding that the complaint is unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted, where a copy of this report was provided to House Manager Liz Baclagan.

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 529-2439
LICENSING EVALUATOR NAME: Armando Perez	TELEPHONE: (951) 248-2222
LICENSING EVALUATOR SIGNATURE:	DATE: 11/27/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2024

LIC9099 (FAS) - (06/04)

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