331881130-2-4-2025-18-AS-APAO-DH4RRP-20250528131527

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881130
Report Date: 02/04/2025
Date Signed: 02/04/2025 03:48:12 PM

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
01/29/2025 and conducted by Evaluator Javina George

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20250129094830

FACILITY NAME:	C & M COMFORT HOME		FACILITY NUMBER:	331881130
ADMINISTRATOR:	COURT, CHRISTIAN		FACILITY TYPE:	735
ADDRESS:	24662 MANTEE PLACE		TELEPHONE:	(951) 378-5820
CITY:	MORENO VALLEY	STATE:	ZIP CODE:	92553
CAPACITY:	6	CENSUS: 6	DATE:	02/04/2025
		UNANNOUNCED	TIME BEGAN:	08:53 AM
MET WITH:	Christian Court, Administrator		TIME COMPLETED:	03:55 PM

ALLEGATION(S):

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Staff is emotionally abusing client
Staff is physically abusing client

INVESTIGATION FINDINGS:

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On 02/04/25 Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver findings for the allegation noted above. LPA met with Administrator Christian court, where LPA explained the purpose of the visit and the elements of the allegation(s). The allegation(s) were investigated, and the investigation consisted of observations, interviews and records review. Below are the findings of the investigation.

On 01/29/25 Community Care Licensing received a complaint alleging that staff is emotionally abusing client. It was further alleged that Staff #1 (S1) is rude, yells at the clients, bangs on the door, is disrespectful, and will sometimes just stand in the door way and stare. Per and interview with S1 whom denied the allegation stated that there has been an increase in behavioral episodes with Client #1 (C1) who has jeopardized the safety of others in the home, and staff has to intervene to protect the safety of both the clients and staff. Per interviews with multiple clients denied being emotionally abused by S1 or any other facility staff, in addition clients denied being told and witnessing facility staff being emotionally abusive

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

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-20250129094830

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: C & M COMFORT HOME	FACILITY NUMBER: 331881130
	VISIT DATE: 02/04/2025

NARRATIVE

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towards another client. Further information from client interviews revealed that clients feel that they are treated well by facility staff, as they are not yelled at, called names, or felt that staff was intimidating them by banging on doors, or standing in the door way. Per additional staff interviews conducted, staff denied having knowledge of any form of abuse occurring at the facility, however there are times where incidences occur and staff have to be stern and redirect certain client behaviors. LPA conducted a records review consisting of behavior contract, special/unusual injury incident reports (SIRs), which revealed that there has been ongoing behavioral incidences that are disruptive to the home. Based on observations, interviews and records review the allegation of staff is emotionally abusing a client is unsubstantiated.

Regarding the allegation of facility staff is physically abusing client. It was further alleged that there was an incident involving C1 being in possession of a knife and S1 pushed C1. Per an interview with S1 there were external factors contributing to the incident that S1 felt C1's judgement was impaired and additional supervision was required, impairing C1 from being able to use the knife safely. While S1 denied pushing C1, all parties interviewed agreed that there was an incident involving a knife. Per staff interviews conducted, staff denied having knowledge of any form of abuse occurring at the facility, however there are times where incidences occur and staff have to be stern and redirect certain client behaviors. Per additional interviews conducted with clients, they denied that they have seen S1 pushing C1 or any other clients. However it was additionally shared during client interviews that the incident would not rise to the level of abuse and that someone could have gotten hurt and the situation needed to be controlled, but no pushing was observed. LPA conducted a records review of SIRs, behavior contract, and confiscated items that revealed that there has been an increase in incidences that does involve external contributing factors. Based on observations, interviews and records review the allegation of staff is physically abusing a client is unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred.

An exit interview was conducted where a copy of this report was reviewed and provided to Christian Court, Administrator.

SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Javina George
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

LIC9099 (FAS) - (06/04)

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