331880803-3-7-2023-56-AS-KCLS-CQTLSZ-20230412090135

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880803
Report Date: 03/07/2023
Date Signed: 03/07/2023 12:04:55 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
03/01/2023 and conducted by Evaluator Magda Malcore

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20230301100425

FACILITY NAME:	ENJOYCARE-POPLAR		FACILITY NUMBER:	331880803
ADMINISTRATOR:	SUSAN FRIES		FACILITY TYPE:	740
ADDRESS:	11574 POPLAR STREET		TELEPHONE:	(909) 796-1375
CITY:	LOMA LINDA	STATE: CA	ZIP CODE:	92354
CAPACITY:	6	CENSUS: 6	DATE:	03/07/2023
		UNANNOUNCED	TIME BEGAN:	10:22 AM
MET WITH:	Nirmala Boling, Licensee		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Staff handled resident in a rough manner
Staff made inappropriate comments towards resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Magda Malcore and Licensing Program Manager (LPM) Karen Clemons made an unannounced visit to the facility to conduct a complaint investigation regarding the above allegations. LPA Malcore and LPM Clemons met with Licensee Nirmala Boling and discussed the purpose of the visit. The investigation consisted of direct observations and interviews with residents and staff.

Regarding the allegation that staff handled resident in a rough manner, LPA Malcore interviewed licensee, one staff and four residents in care. Interviews conducted with the licensee and staff person both deny handling residents in a rough manner. Interviews conducted with the four residents all deny that staff have mishandled them in a rough manner they also deny witnessing or hearing from other residents that staff has mishandled them.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda Malcore	TELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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-20230301100425

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: ENJOYCARE-POPLAR	FACILITY NUMBER: 331880803
	VISIT DATE: 03/07/2023

NARRATIVE

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Regarding the allegation that staff made inappropriate comments towards residents, LPA Malcore interviewed the licensee and facility staff person whom both deny ever making inappropriate comments towards residents. Interviews with four residents in the facility all deny that staff has made inappropriate comments towards them and have not heard staff making inappropriate comments toward other residents.

Based on evidence obtained during the investigation, the above allegations are Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies cited during this visit.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Nirmala boling at the conclusion of the visit.

SUPERVISOR'S NAME: Karen Clemons	TELEPHONE: (951) 248-0349
LICENSING EVALUATOR NAME: Magda Malcore	TELEPHONE: 951-248-0316
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC9099 (FAS) - (06/04)

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