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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881091
Report Date: 11/08/2024
Date Signed: 11/08/2024 03:18:56 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
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/17/2022 and conducted by Evaluator Venus Mixson
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20221017081802
FACILITY NAME:ASTRO CONCEPTS CARE LLCFACILITY NUMBER:
331881091
ADMINISTRATOR:OMEJE, QUEENFACILITY TYPE:
735
ADDRESS:27710 BLUE TOPAZ DR.TELEPHONE:
(323) 217-3261
CITY:MENIFEESTATE: CAZIP CODE:
92585
CAPACITY:6CENSUS: 3DATE:
11/08/2024
UNANNOUNCEDTIME BEGAN:
03:06 PM
MET WITH:ADMINISTRATOR, NATALIE MARCAIDATIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Facility staff served resident expired food
Facility staff did not provide food which met resident's needs
INVESTIGATION FINDINGS:
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On November 08, 2024, Licensing Program Analyst, (LPA) Venus Mixson arrived at the facility to deliver the findings for the listed allegation and met with Administrator, Natalie Marcaida.

During the investigation, LPA conducted interviews, record reviews, and made observations pertaining to the listed allegation. LPA was unable to interview R1 due to the inability to obtain contact with R1.

On 10/17/2022, Community Care Licensing received a complaint alleging facility staff served resident expired food and did not provide food which met resident's needs. It was reported that the facility staff were sending Resident #1 (R1) to the day program with expired food. It was also reported that the facility staff were sending food that could potentially be choking hazard; popcorn.
Regarding the allegation facility staff served resident expired food, information obtained from interviews with Administrator stated the facility staff do not send R1 meals to the day program. It was reported that R1 is provided breakfast and lunch at the day program.


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
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 2
Control Number 18-AS-20221017081802
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
RIVERSIDE, CA 92507
FACILITY NAME: ASTRO CONCEPTS CARE LLC
FACILITY NUMBER: 331881091
VISIT DATE: 11/08/2024
NARRATIVE
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Administrator further indicated any food inside R1’s backpack was not prepared and placed there by staff to be sent with R1 to the day program. It was also stated that R1 is responsible for R1’s backpack and staff do not search residents belongings when they go or come from the program. Information obtained from day program staff stated that R1 did attend a day program where the meals for breakfast and lunch were provided.

Information that the day program does provide food to residents was corroborated. Information obtained from additional interviews with residents stated there were no concerns regarding the facility serving expired food. A review of the records revealed the facility grocery shops on a regular rotation and provide food items from the basic food groups.


Regarding the allegation facility staff did not provide food which met resident's needs, information obtained from interviews with Administrator advised the facility staff follow each resident’s Individual Services Plan (ISP), and that none of the residents require a special diet. Information obtained from staff and resident interviews corroborated the information. A review of the records determined that none of the residents in care had a special diet or any additional concerns pertaining to food.




Based on interviews and record reviews, the evidence received was not sufficient information regarding the listed allegations that facility staff served resident expired food and facility staff did not provide food which met resident's needs. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the alleged violations did or did not occur; therefore, the allegation is unsubstantiated at this time.

An exit interview was conducted, and a copy of this report was discussed and provided to Administrator, Natalie Marcaida.
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/08/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2