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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880643
Report Date: 08/16/2024
Date Signed: 08/16/2024 10:56:01 AM

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
08/05/2024 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240805141757
FACILITY NAME:DISCOVERY MOOD & ANXIETY PROGRAM, CHINO HILLSFACILITY NUMBER:
361880643
ADMINISTRATOR:HEATHER MARSHALLFACILITY TYPE:
772
ADDRESS:2062 HUNTER RDTELEPHONE:
(909) 532-8821
CITY:CHINO HILLSSTATE: CAZIP CODE:
91709
CAPACITY:6CENSUS: 5DATE:
08/16/2024
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Jeanie LoTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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9
Illegal Eviction
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Facility Therapist Jeanie Lo and explained the purpose of the visit. The investigation consisted of interviews and review of records.

First allegation, Illegal Eviction. Regarding the allegation illegal eviction LPA conducted a file review and conducted interviews with staff. During interviews with staff, Staff #1 stated to LPA that the facility is not a locked facility Staff #1 further explained that staff cannot restrain clients from leaving the facility. During record review LPA observed that on 8/1/2024 Client #1 was admitted to Discovery Mood & Anxiety Program. Based on documentation LPA observed that on 8/2/2024 Client #1 made several statements to Staff that client did not want to be at the facility and wanted to go home. LPA also observed that on 8/3/2024 Client #1 once again continued to make statements to staff about wanting to go home which made Client #1 to become violent towards staff by throwing objects (phone) towards staff.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
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 2
Control Number 56-AS-20240805141757
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: DISCOVERY MOOD & ANXIETY PROGRAM, CHINO HILLS
FACILITY NUMBER: 361880643
VISIT DATE: 08/16/2024
NARRATIVE
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 In addition, LPA observed that on 8/4/2024 Client #1 became more aggressive and violent towards staff to where staff contact Chino Police Department for assistance. LPA observed Police Report which indicated that Client#1 was transported to a new location Hope for Homes based on Client #1 request. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegation is Unsubstantiated.

Unsubstantiated; meaning 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 where this report (LIC 9099) was discussed, and a copy was provided to Facility Therapist Jeanie Lo.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 08/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2