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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361800061
Report Date: 03/28/2023
Date Signed: 03/28/2023 01:25:19 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/07/2020 and conducted by Evaluator Tricia Danielson
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20200707155514
FACILITY NAME:HELPING HEARTS EUCLIDFACILITY NUMBER:
361800061
ADMINISTRATOR:SMITH, MELLISAFACILITY TYPE:
772
ADDRESS:747 NORTH EUCLID AVETELEPHONE:
(909) 983-6123
CITY:ONTARIOSTATE: CAZIP CODE:
91762
CAPACITY:10CENSUS: 9DATE:
03/28/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Valerie Daniels, Program DirectorTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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9
Facility not following program statement
Facility failed to repair water pipe in basement
Facility not following proper reporting requirements
Facility staff are unqualified
Clients have been left unattended
Staff falsifying documents
Staff violates residents rights
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPAs) Tricia Danielson and Sara Martinez arrived unannounced to the facility to conclude an investigation into the allegations listed above. LPAs met with Program Director Valerie Daniels and explained the purpose of the visit. The current census of the facility is nine (9) residents however, one (1) resident is currently hospitalized.
The investigation consisted of LPA observations, record review, and interviews. In total, ten (10) residents were interviewed however, two (2) refused to provide any information. A total of eight (8) staff were also interviewed.
Regarding the allegation "Facility not following program statement", it was alleged that the facility lacked therapeutic mental health treatment for residents. Eight (8) of eight (8) residents interviewed reported the facility does provide therapeutic mental health treatment and facility staff provide assistance in meeting their treatment plan goals. All eight (8) residents interviewed reported they receive the services of a psychiatrist through a county mental health center and a therapist visits the residents twice weekly for group as well as individual therapy. Regarding the allegation "Facility failed to repair water pipe in basement", it was alleged that a broken water pipe in the basement had gone unrepaired causing mold (CONTINUED ON LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Tricia Danielson
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
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-20200707155514
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office,
, CA
FACILITY NAME: HELPING HEARTS EUCLID
FACILITY NUMBER: 361800061
VISIT DATE: 03/28/2023
NARRATIVE
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(CONTINUED FROM LIC9099)
growth. Records reviewed revealed an inspection was conducted by an engineering contractor on July 21, 2020. The contractor found no signs of water intrusion, odors or mold in the basement. The contractor also conducted moisture readings which constituted a dry condition. Regarding the allegation "Facility not following proper reporting requirements", it was alleged that staff were discouraged from calling the police when residents were exhibiting dangerous and aggressive behaviors without first notifying the Senior Director of Operations. Interviews were conducted with eight (8) staff. All eight staff interviewed reported they are not required to provide prior notification to anyone in order to call 911 for emergency situations. Regarding the allegation "Facility staff are unqualified", it was alleged that the facility Clinical Coordinator was not a licensed clinical social worker as required. Interview with Program Director Daniels revealed although the Clinical Coordinator position is no longer utilized by Helping Hearts California LLC, the position never required a licensed clinical social worker nor are Program Directors required to be a licensed clinical social worker.
Regarding the allegation "Clients have been left unattended", it was alleged that residents have AWOL'd from the facility and returned to the facility without consequence. All eight (8) staff interviewed reported residents have never been left unattended at the facility. Per Title 22 regulations, residents have the right to leave the facility when desired and consequences for doing so are not permitted. Regarding the allegation "Staff falsifying documents", it was alleged that facility staff have been directed to falsify documents during an audit. All eight (8) staff interviewed reported they had never been directed to falsify documentation at the facility. Regarding the allegation "Staff violates residents rights", it was alleged that residents were not permitted to have staff support with helping to cut, style, or groom their hair. It was further alleged that staff yell at residents. Eight (8) of eight (8) residents interviewed reported they had never been yelled at and do receive assistance with grooming and/or hygiene if needed.
Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report was provided.
SUPERVISORS NAME: Deborah Mullen
LICENSING EVALUATOR NAME: Tricia Danielson
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2