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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881091
Report Date: 11/22/2024
Date Signed: 11/22/2024 02:14:13 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
02/14/2023 and conducted by Evaluator Venus Mixson
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20230214142557
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:
11/22/2024
UNANNOUNCEDTIME BEGAN:
02:09 PM
MET WITH:ADMINISTRATOR, NATALIE TIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff did not treat resident with respect
INVESTIGATION FINDINGS:
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On November 22, 2024, Licensing Program Analyst (LPA), Venus Mixson conducted an office visit to deliver the findings for the listed allegation and met with the Administrator, Natalie Marcaida. During the investigation, LPA conducted interviews, record reviews, and made observations pertaining to the listed allegation. LPA was unable to interview a pertinent party due to the inability to obtain contact information.

On 02/14/2023, Community Care Licensing received a complaint alleging staff did not treat resident with respect. It was reported that Staff was being disrespectful to Resident #1 (R1), because they cut their own beard and did not wait for staff to assist. Information obtained from interviews with Administrator stated the facility staff did not disrespect R1. It was advised that Staff redirected R1 due to their behaviors. It was also stated that R1 has a behavior plan and Staff encouraged R1 to follow the plan. Information obtained from interviews with facility staff advised that R1 is responsible for R1’s behaviors and for completing the steps in R1’s plan.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Venus Mixson
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024
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-20230214142557
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: 11/22/2024
NARRATIVE
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Information obtained from interview with R1 stated R1 did get upset and walked away from Staff due to Staff attempting to get R1 to follow their behavioral plan. R1 stated that staff was not disrespectful to them, but R1 was upset due to the interaction. A review of the records indicated that R1 does have a behavioral plan in place and that staff are to encourage R1 to follow the plan.

Based on interviews, record reviews, and the inability to interview pertinent parties, 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: 11/22/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2