361880663-6-28-2023-56-AS-KCLS-CTXTWN-20230721150546

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880663
Report Date: 05/15/2023
Date Signed: 06/28/2023 03:04:59 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
03/01/2023 and conducted by Evaluator Amber Coleman

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20230301090201

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:	DATE:	05/15/2023
		UNANNOUNCED	TIME BEGAN:	04:20 PM
MET WITH:	Jimmy Grant, Licensee		TIME COMPLETED:	04:21 PM

ALLEGATION(S):

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Facility's infested with roaches.
Facility has insufficient food supply for the clients.
Facility does not have enough staff on ground to supervise and care for clients.

INVESTIGATION FINDINGS:

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Licensing Program Analyst, Amber Coleman, (LPA) arrived at the Grant's Family Home Facility at 10:00am to deliver the findings of the complaint investigation. LPA met with Licensee, Jimmy Grant who greeted and invited LPA inside facility. Licensee informed LPA the current census is 1. The remaining residents were at their perspective Day Programs.

It is alleged that the facility is infested with roaches. According to staff and resident interviews, the facility was initially opened in 2019. A problem with insects was noticed and the facility hired Orkin Services to spray in and around the facility. The issue with insects was addressed and Licensee decided he would take on the task and service the facility himself. Residents in care all deny witnessing the facility to have an infestation of pests. LPA made no observation of insects or evidence of an infestation problem within the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Amber Coleman
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2023

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-20230301090201

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: GRANT FAMILY HOMES INC	FACILITY NUMBER: 361880663
	VISIT DATE: 05/15/2023

NARRATIVE

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It is alleged that the facility has an insufficient food supply for the number of residents in care. LPA observed the facility’s refrigerator and freezer to have an abundance of food such as, milk, eggs, loaves of bread, single serve meals, frozen pizza, and fresh fruits all accessible to residents in care. LPA observed an additional deep freezer in the facility’s garage to be full of meats in bulk. Meats such as ground beef, hot dogs, whole chickens, pork chops. LPA observed the facility’s pantry stocked with non-perishable food items and canned goods. All food observed were found good in quality and within good standing of expiration dates.

It is alleged that the Facility does not have enough staff on grounds to supervise and care for clients. According to staff interviews, the facility did lose two employees in February / March 2023. To make up for the loss of two staff, the Administrator and Facility Manager were able to get the shifts covered themselves or have another staff member cover. Staff does not recall a period, when the facility was short on staff. All residents in care, agree that when assistance is needed, it is provided in a timely manner. A review of resident records revealed that none of the residents in care require one on one supervision at this time. LPA was reviewed the staff schedule and observed that it is complete as regulated.

Based on observations, file reviews and staff and resident interviews, we have found the complaint allegation is unsubstantiated, although the allegation may have happened or is valid: there is not a preponderance of the evidence to prove that the alleged violation occurred. A copy of this report is being reviewed with and furnished to the facility representative.

SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Amber Coleman
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2023

LIC9099 (FAS) - (06/04)

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