361880663-3-7-2023-56-AS-KCLS-CQ5RDR-20230321125622

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880663
Report Date: 03/07/2023
Date Signed: 03/07/2023 12:43:15 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, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/03/2023 and conducted by Evaluator Bernadette Allen

COMPLAINT CONTROL NUMBER: 56-AS-20230303083453

FACILITY NAME:	GRANT FAMILY HOMES INC		FACILITY NUMBER:	361880663
ADMINISTRATOR:	ROXANNE M GONZALES		FACILITY TYPE:	735
ADDRESS:	526 N ACACIA AVE		TELEPHONE:	(909) 440-5082
CITY:	RIALTO	STATE: CA	ZIP CODE:	92376
CAPACITY:	4	CENSUS: 4	DATE:	03/07/2023
		UNANNOUNCED	TIME BEGAN:	11:30 AM
MET WITH:	Jimmie Grant -Licensee		TIME COMPLETED:	12:55 PM

ALLEGATION(S):

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Staff are not ensuring that resident is consuming a healthy diet.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPA) Bernadette Allen arrived at the facility unannounced to conduct a complaint investigation and deliver the findings for the allegations listed above. LPA met with Licensee Jimmie Grant after waiting for his arrival at 11:30 AM and he was informed of the purpose of the visit and allegation above.

LPA interview the Licensee Jimmie Gant and he was asked about Resident 1 (R1) eating habits and how often are meals prepared and eaten at the facility. Jimmie said (R1) eating habits are good. They eat at least (3) three meals a day including snacks. However, breakfast is normally eaten out if not eaten at home before he drops off other resident to their day program. He said that meals are prepared at least (3) three times a day either by the resident or staff members. The licensee said that (R1) is not currently in a program and while he is out running arrands (R1) is with him and if it is lunch time, and they are not at the facility lunch is purchased and they continue with their daily activities.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

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 56-AS-20230303083453

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME: GRANT FAMILY HOMES INC	FACILITY NUMBER: 361880663
	VISIT DATE: 03/07/2023

NARRATIVE

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Jimmie said that residents in care can eat what they want if what’s on the menu is not to their liking. They are never forced to eat things that they don’t like but they are encouraged to eat meals that contribute to a healthy diet. LPA observed that the residents in care does consume a healthy diet.

LPA interviewed (R1) who was asked how often they eat at restaurants and (R1) said (2) twice holding up two fingers. LPA also toured the facilities kitchen, and there were sufficient food supplies. There was at least a 5-day supply of perishable and a 7-day supply of non-perishables. The menu was also available for review. LPA toured the facility and observed that there was exercise equipment, and a basketball court outside for exercise. Jimmie also stated that (R1) also attends the gym at least (2) twice a week.

Based on interviews and observations the above allegation is unsubstantiated A finding of unsubstantiated means although the allegations 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 a copy of this report was discussed and provided at the conclusion of the visit with the appeal rights.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:	DATE: 03/07/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2023

LIC9099 (FAS) - (06/04)

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