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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361800235
Report Date: 11/22/2022
Date Signed: 11/22/2022 02:18:56 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
11/17/2022 and conducted by Evaluator Victoria Chitgian
COMPLAINT CONTROL NUMBER: 56-AS-20221117152322
FACILITY NAME:STERLING HOME, THEFACILITY NUMBER:
361800235
ADMINISTRATOR:HOWARD, DANIELLEFACILITY TYPE:
735
ADDRESS:2431 S SEAGULL AVETELEPHONE:
(909) 443-7054
CITY:ONTARIOSTATE: CAZIP CODE:
91761
CAPACITY:5CENSUS: 4DATE:
11/22/2022
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Licensee Danielle HowardTIME COMPLETED:
02:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff hitting residents in care.
INVESTIGATION FINDINGS:
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2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Victoria Chitgian conducted an unannounced visit to the facility to investigate and deliver findings on the above allegation. LPA identified herself to Direct Support Person (DSP) Roderick Marrion who was notified of the reason for today’s visit. Licensee Danielle Howard arrived to the facility during the visit. The investigation included records review, LPA observations, and staff, client, and witness interviews.

The allegation is Staff is hitting residents while in care. Reporting party alleges that unknown Staff hits Client 2 (C2) and Client 3 (C3). Staff interviews deny hitting and/or witnessing another staff hit any clients. Client interview reveal that staff do not hit clients. Client interviews reveal that they have not witnessed client being hit. Client (4) refused to comment without his guardian present. Client (1) had positive words towards the staff. Family member of twin clients, maternal aunt was interviewed over the telephone and was pleased with facility and makes visits often. LPA observed all four (4) clients during the visit in the living room. Based on the available information, we have found the complaint allegation to be UNSUBSTANTIATED.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Victoria Chitgian
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
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 2
Control Number 56-AS-20221117152322
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: STERLING HOME, THE
FACILITY NUMBER: 361800235
VISIT DATE: 11/22/2022
NARRATIVE
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A finding of unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was conducted where this report was discussed, and a copy was provided to licensee Danielle Howard at the conclusion of the visit.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Victoria Chitgian
LICENSING EVALUATOR SIGNATURE:

DATE: 11/22/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/22/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2