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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426108
Report Date: 03/21/2022
Date Signed: 07/14/2022 02:45:08 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 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
11/16/2021 and conducted by Evaluator Amy Goldenberg
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20211116100951
FACILITY NAME:FIRST STEP CORONAFACILITY NUMBER:
336426108
ADMINISTRATOR:QUIROGA, MICHELLEFACILITY TYPE:
775
ADDRESS:237 RIVER RDTELEPHONE:
(951) 371-5593
CITY:CORONASTATE: CAZIP CODE:
92880
CAPACITY:75CENSUS: DATE:
03/21/2022
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Sophie Ponce, Day Program Supervisor
Taylor Stringer, Day Program Supervisor		TIME COMPLETED:
01:30 PM
ALLEGATION(S):
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-Kitchen sink is in disrepair
-Staff conduct poses a risk to clients in care
-Staff does not ensure that food is served in a safe and healthful manner
INVESTIGATION FINDINGS:
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This unannounced visit conducted by Amy Goldenberg, Licensing Program Analyst (LPA), is being conducted to conclude this agency’s investigation into the complaint allegations mentioned above.

During the course of the investigation, interviews were conducted with staff and a tour of the entire facility was conducted which included assessing the condition of the kitchen sink. LPA reviewed meal time practices and pertinent documentation was obtained which included staff schedule and resident diet texture documentation.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Amy Goldenberg
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022
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 4
Control Number 18-AS-20211116100951
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: FIRST STEP CORONA
FACILITY NUMBER: 336426108
VISIT DATE: 12/02/2021
NARRATIVE
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SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Amy Goldenberg
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2021
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 18-AS-20211116100951
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: FIRST STEP CORONA
FACILITY NUMBER: 336426108
VISIT DATE: 03/21/2022
NARRATIVE
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It is alleged that the kitchen sink is clogged and has been clogged for more than one month and that staff do not have a means to check the temperature of food served to clients. Seven (7) of seven (7) staff interviewed report that the sink backs up and/or the garbage disposal is not working causing the sink to back up and that they do not take temperature of residents food before serving to clients. LPA has confirmed that the facility kitchen sink is not maintained in working order and that there is no means to measure food temperature being heated up.

It is alleged that S1 and S2 had a verbal altercation in front of clients. Five (5) of seven (7) staff interviewed confirmed that S1 and S2 were engaged in a loud verbal confrontation in the hallway of the day program and that profanity was yelled within hearing distance of clients in the day program. LPA has confirmed that staff conduct poses a risk to clients in care.

We have substantiated the complaint allegations as valid and that a violation has occurred based on the preponderance of available evidence. A copy of this report along with appeal rights are being reviewed with, and furnished to the facility representative. Please see LIC 9099D.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Amy Goldenberg
LICENSING EVALUATOR SIGNATURE:

DATE: 12/06/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/06/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 18-AS-20211116100951
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: FIRST STEP CORONA
FACILITY NUMBER: 336426108
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/22/2022
Section Cited
CCR
82807(a)
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The program site shall be clean, safe, sanitary and in good repair at all times for the safety and well-being of clients, employees and visitors.The facility failed to meet
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Management to review regulation section cited and provide LPA with a statement of understanding by POC due date of 03/22/2022.
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this requirement as evidenced by seven (7) of seven (7) staff report that the sink backs up and/or the garbage disposal is not working causing the sink to back up and LPA observation.
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Type A
03/22/2022
Section Cited
CCR
82072 (a) (2)
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Each client shall have personal rights which include, but are not limited to, the following: To be accorded safe, healthful and comfortable accommodations...
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Management to review regulation section cited and provide LPA with a statement of understanding by POC due date of 03/22/2022.
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Five (5) of seven (7) staff interviewed confirmed that S1 and S2 were engaged in a loud verbal confrontation and that profanity was yelled within hearing distance of clients. This violated the personal rights of residents attending the day program.
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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: Nedra Brown
LICENSING EVALUATOR NAME: Amy Goldenberg
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 18-AS-20211116100951
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: FIRST STEP CORONA
FACILITY NUMBER: 336426108
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/21/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/22/2022
Section Cited
CCR
82076(a)(1)
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In day programs ....
All food shall be selected, stored, prepared and served in a safe and healthful manner. The facility failed to meet this requirement as evidenced by the lack of ability
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Management to review regulation section cited and provide LPA with a statement of understanding by POC due date of 03/22/2022.
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to measure temperature of the food being heated up by staff. This poses a risk to clients being served food that is too hot and is a risk to the health and safety of residents 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: Nedra Brown
LICENSING EVALUATOR NAME: Amy Goldenberg
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022
LIC9099 (FAS) - (06/04)
Page: 4 of 4