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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880821
Report Date: 10/17/2024
Date Signed: 10/17/2024 03:16:07 PM

Substantiated


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
07/03/2024 and conducted by Evaluator Melody Brown
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240703102518
FACILITY NAME:DION HOME 2FACILITY NUMBER:
331880821
ADMINISTRATOR:OWENS, OMORODIONFACILITY TYPE:
735
ADDRESS:22905 PAVLA CTTELEPHONE:
(714) 392-1860
CITY:WILDOMARSTATE: CAZIP CODE:
92595
CAPACITY:4CENSUS: 2DATE:
10/17/2024
UNANNOUNCEDTIME BEGAN:
02:10 PM
MET WITH:LIcensee/Administrator Omorodion "Jimmy" OwensTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Staff deny a client access to the facility.
INVESTIGATION FINDINGS:
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On 10/17/2024 at 02:10 PM, Licensing Program Analyst (LPA) Melody Brown arrived unannounced at the facility to deliver the findings for the allegation listed above. LPA Brown was greeted and granted entry by a staff. LIcensee/Administrator Omorodion "Jimmy" Owens was contacted and arrived during the visit and LPA Brown explained the purpose of the visit to LIcensee/Administrator Owens. The investigation consisted of interviews and a review of pertinent documentation.

The investigation was conducted by LPA Brown. The investigation consisted of records review and interviews with relevant parties. The allegation indicated that staff deny a client access to the facility. Interviews with Staff #1 (S1), Staff #2 (S2) and Staff #3 (S3) confirmed that on 07/02/2024, Client #1 (C1) was not able to access the facility after C1 was dropped off earlier than usual schedule by C1's assigned coach. Interviews with S1, S2 and S3 revealed that they were expecting that C1 informed C1's assigned coach that there's a nearby home that the Licensee also owns where C1 will have an access. S3 reported to LPA Brown that C1 can walk to the nearby home that the Licensee also owns because ***Continuation in LIC9099C***
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Melody Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024
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 56-AS-20240703102518
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: DION HOME 2
FACILITY NUMBER: 331880821
VISIT DATE: 10/17/2024
NARRATIVE
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it is just a six (6) to seven (7) minutes walk and S3 indicated to LPA Brown that it's not that far. In addition, during staff interviews, S2 stated that C1 did not go to their other home, which is just nearby. Moreover, S1 indicated to LPA Brown that C1 coach should know that they have a nearby facility that they also own, which S1 emphasized that C1 can go to. During the visit, S1 informed LPA Brown that they have a staff scheduled to work at 01:00 PM on 07/02/2024 and indicated that they received a phone call from C1 Inland Regional Center (IRC) Consumer Services Coordinator (CSC) on 07/02/2024 informing them that C1 cannot access the home and was able to pick up C1 at 12:30 PM. Interview with C1 indicated that on 07/02/2024, C1 was dropped off at the facility by C1's coach at 11:00 AM and C1 had to wait in the patio until 2:00 PM to gain access to the facility. C1 added that it was hot that time and C1 was not able to go inside the facility until a staff arrived at 02:00 PM. LPA Brown contacted C1's coach employer and they confirmed that on 07/02/2024, C1 was dropped off at the facility at 11:00 AM and C1 cannot go inside the facility and had to wait outside the facility for a staff to arrive in a hot weather. C1's Inland Regional Center (IRC) Consumer Services Coordinator (CSC) confirmed that on 07/02/2024, C1 was not able to access the facility after C1's coach dropped C1 at 11:00 AM and C1 reported that C1 had to wait outside the facility in a hot weather until 02:00 PM.

Based on LPA Brown’s interviews and records review, the preponderance of evidence standard has been met, and therefore the above allegation of staff deny a client access to the facility is found to be SUBSTANTIATED. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. California Code of Regulations, (Title 22, Division 6 & Chapter 6) is being cited on the attached LIC9099D.

An exit interview was conducted where this report (LIC9099), LIC9099D, and Appeal Rights were discussed and provided to Licensee/Administrator Omorodion "Jimmy" Owens.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Melody Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 56-AS-20240703102518
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: DION HOME 2
FACILITY NUMBER: 331880821
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
10/24/2024
Section Cited
CCR
80072(a)(3)
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80072 Personal Rights a) Except for children’s residential facilities, each client shall have... (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not
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Licensee stated that starting 07/03/2024, they scheduled a staff to work at the facility from 10:00 AM to 02:00 PM each day. Licensee stated to submit a copy of Personnel Report (LIC500) showing a staff working at the facility from 10:00 AM to 02:00 PM to LPA Brown on Plan of Correction (POC) due date.
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limited to: interference with the daily living functions, including eating, sleeping, or toileting; or withholding of shelter...This requirement is not met as evidenced by: Based on interviews, the Licensee did not comply with the section cited above by not ensuring that Client #1 (C1) have access at the facility on 07/02/2024 when C1’s Coach dropped C1 off which poses a potential health and safety 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: Efren Malagon
LICENSING EVALUATOR NAME: Melody Brown
LICENSING EVALUATOR SIGNATURE:

DATE: 10/17/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3