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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426129
Report Date: 10/17/2024
Date Signed: 10/17/2024 12:09:09 PM

Substantiated


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
06/01/2022 and conducted by Evaluator Janira Arreola
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20220601162430
FACILITY NAME:BETTER DAYS CORDERROFACILITY NUMBER:
336426129
ADMINISTRATOR:LESTER J BELLFACILITY TYPE:
735
ADDRESS:31317 CORDERRO LANETELEPHONE:
(951) 246-0178
CITY:MENIFEESTATE: CAZIP CODE:
92584
CAPACITY:5CENSUS: 4DATE:
10/17/2024
UNANNOUNCEDTIME BEGAN:
11:28 AM
MET WITH:Staff, Latriece ScottTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff hit resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Janira Arreola, conducted an unannounced visit to the facility in order to delivery investigatory finding on the above allegation. LPA met with Staff, Latriece Scott, who was informed of the purpose of the visit. The investigation consisted of interviews and records review.
It was alleged that “Staff hit a resident”, regarding Client #1 (C1) being hit by Staff #1 (S1) where C1 sustained injuries such as a bump on their head and scratched on their wrist on or around 5/23/2022.
LPA conducted interview with C1 which revealed that C1 hit S1, then S1 put their hands out “really hard” which caused C1 to hit their head on the floor.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janira Arreola
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 18-AS-20220601162430
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: BETTER DAYS CORDERRO
FACILITY NUMBER: 336426129
VISIT DATE: 10/17/2024
NARRATIVE
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Interview with S1 revealed that C1 hit S1’s face, which prompted S1 to push C1 back. S1 revealed they saw C1 was falling and attempted to break C1’s fall but was unable to due to C1’s body weight. S1 reported S1 and C1 both fell and S1 injured their elbow. S1 revealed they did not expect C1 to hit them as they did not have a history of hitting staff. S1 revealed a body check was conducted on C1 were no bumps or scratches were noticed on C1. There was no documentation on body checks conducted on C1. S1 revealed another staff was present during the incident but could not recall their name. S1 reported C1 was monitored by staff after the incident and no other incidents were reported to C1.

LPA conducted record review of incident report for 5/21/2022, where C1 had come back from an outing and got agitated when speaking with S1. C1 stood up, then S1 stood back to give C1 space. C1 then charged at S1 swinging at S1’s face. S1 extended both hands to get C1 off and both C1 and S1 fell to the floor. S1 spoke to C1 who expressed not being injured or hurt. Consumer notes for C1 revealed that on 5/21/2022, C1 had a verbal argument with S1, however there was no documentation showing C1 had a behavior, physical altercation, or injuries.

Consumer notes on 5/23/2022 revealed C1 had reported being in a physical altercation with S1 and was later interviewed by police officers. LPA reviewed police incident report dated 5/23/2022 which revealed no documentation of injuries on C1.

LPA reviewed C1’s semiannual behavior support plan dated 2/28/2022 which revealed behaviors that were being monitored for C1 did not include physical aggression toward others. LPA reviewed C1’s Individualized Program Plan (IPP) dated 9/16/2020 which revealed C1 did not have a documented history of physical aggression toward others.

Therefore, based on interviews and records review, the preponderance of evidence standard has been met, and the above allegation is substantiated at this time. California Code of Regulations (Title 22, Division 6, Chapter 1), is being cited on the attached LIC 9099 D. An exit interview was conducted, and a copy of this report was provided

SUPERVISORS NAME: Tricia Danielson
LICENSING EVALUATOR NAME: Janira Arreola
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 18-AS-20220601162430
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: BETTER DAYS CORDERRO
FACILITY NUMBER: 336426129
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 10/17/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
10/18/2024
Section Cited
CCR
80072(a)(1)
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(a)…client shall have personal rights which include, but are not limited to, the following:(1)To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
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The licensee agreed to send the LPA proof of CPI training taken by S1 and written procedure on how staff will follow best practices when a client becomes physical with staff.
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Based on interview and records review S1 pushed C1 which caused C1 to hit their head on the floor.
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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: Tricia Danielson
LICENSING EVALUATOR NAME: Janira Arreola
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