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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426745
Report Date: 12/04/2023
Date Signed: 12/04/2023 10:56:46 AM

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
09/08/2020 and conducted by Evaluator Jesse Gardner
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20200908122749
FACILITY NAME:MATTHIAS HOMEFACILITY NUMBER:
336426745
ADMINISTRATOR:ADALBERTO ORTIZFACILITY TYPE:
735
ADDRESS:13801 MOUNTAIN TOP DRIVETELEPHONE:
(760) 601-7307
CITY:DESERT HOT SPRINGSSTATE: CAZIP CODE:
92240
CAPACITY:6CENSUS: 5DATE:
12/04/2023
UNANNOUNCEDTIME BEGAN:
10:02 AM
MET WITH:Alexis Parker, Lead StaffTIME COMPLETED:
10:25 AM
ALLEGATION(S):
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Staff not providing adequate food
Staff not providing outdoor activities
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced subsequent complaint visit to the facility. LPA met with Lead Staff Alexis Parker and informed them on the purpose of this visit. During this investigation the Department conducted interviews with staff and clients; obtained supportive documentation for review to assist with determining the findings for the above noted allegations. The following was determined.

Allegation #1 alleged that staff were not providing adequate food. It was alleged that facility clients are not provided enough food and are only given one (1) serving per meal. Of the four (4) clients residing in the facility, three (3) agreed to interview.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023
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-20200908122749
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: MATTHIAS HOME
FACILITY NUMBER: 336426745
VISIT DATE: 12/04/2023
NARRATIVE
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Three (3) of three (3) clients interviewed all reported receiving an adequate amount of food as well as snacks and all three (3) stated they enjoy the food they are provided. Three (3) of three (3) clients interviewed also reported they are provided a second helping of their meal when they ask for it. During a tour of the facility, the Department observed the required 7-day supply of non-perishable foods as well as the 2-day supply of perishable foods, including an assortment of fresh fruit in a bowl on the kitchen counter. Based on staff and client interviews, as well as observations, the allegation was Unsubstantiated.

Allegation #2 alleged that staff were not providing outdoor activities. It was alleged that the facility does not have enough gas in the facility vehicle to take the clients on outings. Of the four (4) clients residing at the facility, three (3) agreed to interview. Two (2) of three (3) clients reported the facility staff take them on outings to various places. None of the clients interviewed reported being told they could not go on outings because there was not enough gas in the vehicle. Additionally, per staff interview, the facility vehicle is supplied with a gas credit card and all staff have authority to utilize it to gas up the vehicle when needed. Based on staff and client interviews, as well as LPA observations, the Department found that the complaint was Unsubstantiated.

A finding of Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted, and a copy of this report was discussed and provided.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Jesse Gardner
LICENSING EVALUATOR SIGNATURE:

DATE: 12/04/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/04/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2