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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700887
Report Date: 06/23/2023
Date Signed: 06/23/2023 12:17:31 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/12/2023 and conducted by Evaluator Pang Lee
COMPLAINT CONTROL NUMBER: 27-AS-20230512142601
FACILITY NAME:EMMA & JOYCE DIALA UNIQUE HOMEFACILITY NUMBER:
342700887
ADMINISTRATOR:DIALA, MANUELFACILITY TYPE:
735
ADDRESS:7354 ALDEN WAYTELEPHONE:
(916) 821-4214
CITY:SACRAMENTOSTATE: CAZIP CODE:
95828
CAPACITY:4CENSUS: 3DATE:
06/23/2023
UNANNOUNCEDTIME BEGAN:
11:39 AM
MET WITH:Treasure Amadi and Phillip VillanuevaTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Staff do not treat resident with respect.
Staff are not allowing resident to spend his own money.
Staff are not allowing the resident to eat what the resident wants.
INVESTIGATION FINDINGS:
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On 06/23/2023 at 10:45 AM, Licensing Program Analyst (LPA) Pang Lee and Licensing Program Manager Czarrina Camilon-Lee arrived at the facility unannounced to deliver a complaint. LPA Lee explained the purpose of the visit. Current census is 3.

Throughout the course of this investigation, LPA Lee toured the facility, conducted staff and resident interviews, and reviewed facility files and records.

Regarding the allegation: Staff do not treat resident with respect, based on interviews, two out of three clients have no concerns with staff not treating client with respect. Client (C2) and (C3) stated that they liked living in the home and that the staffs are nice to them. LPA Lee attempted to interview two other clients; however, the other two clients are non-verbal. It is unclear at this time if staff are not respecting clients.

Continued on LIC 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023
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 27-AS-20230512142601
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME: EMMA & JOYCE DIALA UNIQUE HOME
FACILITY NUMBER: 342700887
VISIT DATE: 06/23/2023
NARRATIVE
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Regarding the allegation: Staff are not allowing resident to spend their own money, based on interviews 1 out of 2 clients stated they have no concerns in regards to staff not allowing residents spending their own money. LPA Lee reviewed the P&I files, and the P&I ledgers documentation is current and accurate. It is unclear at this time if staff is not allowing clients to spend their own money.

Regarding the allegation: Staff are not allowing the resident to eat what the resident wants. Based on interviews, 1 out of 2 clients has no concerns with staff not allowing clients to eat what they want. LPA Lee attempted to interview two other clients; however, the other two clients are non-verbal. It was learned throughout the investigation that all clients are included in menu planning. It is unclear at this time if staff are not allowing clients to eat what clients wants to eat.

As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated means that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.

There were no deficiencies observed or cited at this time However, LPA Lee issued a technical Assistance in regards to keeping clients and facility petty cash separately. An exit interview was conducted, a copy of the 9099 and 9099-C was provided to the facility.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 06/23/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/23/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2