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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366426842
Report Date: 12/21/2021
Date Signed: 12/21/2021 10:14:04 AM

Substantiated


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
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/23/2019 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 18-AS-20190923122636
FACILITY NAME:CLARICE SATTIEWHITE'S HOME INC.FACILITY NUMBER:
366426842
ADMINISTRATOR:KOLICE SATTIEWHITEFACILITY TYPE:
735
ADDRESS:14539 DRYSDALE CIRCLETELEPHONE:
(323) 395-8594
CITY:ADELANTOSTATE: CAZIP CODE:
92301
CAPACITY:4CENSUS: DATE:
12/21/2021
UNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:Patricia Woods-House ManagerTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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9
Client sustained unexplained injuries while in care.

Staff made inappropriate comments to client.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bernadette Allen and Anna Bueno conducted an unannounced visit to the facility to deliver the finding of the above allegation. LPA met with Patricia Woods

The investigation was conducted by the Department. The investigation consisted of file review and interviews with relevant parties. Based upon investigation, it was found that on September 11, 2019, C1 was observed by S1 with injuries. The Department obtained information through numerous interviews, reports, and pictures that the Injuries consisted of bruises to C1’s torso, back, and arm. Interviews revealed that the cause of the injuries could not be explained. According to facility records, C1 required supervision and care to address his medical and behavior needs. However, it was found that facility staff failed to provide this supervision which resulted in C1 injuries. Licensee did not have documentation to support that staff were aware of the injuries nor how they were caused. This poses an immediate health & safety risk to the clients in care.

The second allegation indicates that on 9/2/19 Staff 2 (S2) made inappropriate comments to C1. It was reported that S2 cursed at C1 and told the client to “shut the f---- up”.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021
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 5
Control Number 18-AS-20190923122636
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
RIVERSIDE, CA 92507
FACILITY NAME: CLARICE SATTIEWHITE'S HOME INC.
FACILITY NUMBER: 366426842
VISIT DATE: 12/21/2021
NARRATIVE
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Interviews with current and former staff confirmed that this had occurred. The Department observed that the licensee did not report this incident to the appropriate agencies. This poses an immediate health & safety risk to the clients in care.

Based on the Department’s observations and interviews, which were conducted, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter 1) is being cited on the attached LIC9099D.

An exit interview was conducted where this report, LIC9099D, and appeal rights were discussed and provided to the Patricia Woods

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 5
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
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/23/2019 and conducted by Evaluator Bernadette Allen
COMPLAINT CONTROL NUMBER: 18-AS-20190923122636

FACILITY NAME:CLARICE SATTIEWHITE'S HOME INC.FACILITY NUMBER:
366426842
ADMINISTRATOR:KOLICE SATTIEWHITEFACILITY TYPE:
735
ADDRESS:14539 DRYSDALE CIRCLETELEPHONE:
(323) 395-8594
CITY:ADELANTOSTATE: CAZIP CODE:
92301
CAPACITY:4CENSUS: DATE:
12/21/2021
UNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:Patricia WoodsTIME COMPLETED:
10:20 AM
ALLEGATION(S):
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2
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9
Staff inappropriately touches client.

Staff are under the influence of marijuana while providing care and supervision

Staff handles client in a rough manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bernadette Allen and Anna Bueno conducted an unannounced visit to the facility to deliver the findings of the above allegations. LPA met with Patricia Woods.

The investigation of the first allegation was conducted by the Department. The investigation consisted of file review and interviews with relevant parties. The allegation indicates that Staff 1 (S1) inappropriately touched Client 1 (C1) by smacking C1’s bare bottom and performing a lap dance on him/her. The Department attempted to interview C1 but was not able to effectively communicate with C1 as the client is unable to verbally communicate his/her wants or needs or if he/she is a victim of abuse. The Department interviewed current and former staff. In general, there were no witnesses or documented reports corroborating that C1 was inappropriately touched by staff.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 18-AS-20190923122636
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
RIVERSIDE, CA 92507
FACILITY NAME: CLARICE SATTIEWHITE'S HOME INC.
FACILITY NUMBER: 366426842
VISIT DATE: 12/21/2021
NARRATIVE
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The second allegation indicates that staff are under the influence of marijuana while providing care and supervision. It was also alleged that marijuana was found on the back patio of the facility. Interviews conducted and information provided were not able to corroborate these claims. Although the Department was not able to substantiate this finding, there is a concern regarding the health and safety of the clients. It is advised for this facility to have sufficient administrator oversight. The third allegation indicates that staff handled C1 in a rough manner. Based on interviews conducted and records reviewed, LPA could not determine details such as date, time, or witnesses regarding the alleged incident.
Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are unsubstantiated at this time.
No deficiencies were cited. An exit interview was conducted where this report was discussed and provided to Patricia Woods.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021
LIC9099 (FAS) - (06/04)
Page: 5 of 5
Control Number 18-AS-20190923122636
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
RIVERSIDE, CA 92507

FACILITY NAME: CLARICE SATTIEWHITE'S HOME INC.
FACILITY NUMBER: 366426842
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/21/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
12/22/2021
Section Cited
CCR
8007(a)(2)
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80072 PERSONAL RIGHTS (a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment to meet his/her needs.
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The licensee shall conduct in-service training to all direct care staff regarding the clients’ personal rights. Proof will be submitted to the Department by 12/22/2021
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This requirement is not met as evidenced by: Based on interviews and file review, the licensee did not ensure C1 had safe and healthful accommodations. On 9/11/19, C1 sustained unexplained injuries while in care. Interviews and documentation could not confirm or explain the cause of C1’s bruises.
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Type A
12/22/2021
Section Cited
CCR
80072(a)(1
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80072 PERSONAL RIGHTS (a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following: (1) To be accorded dignity in his/her personal relationships with staff and other persons.
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The licensee shall conduct in-service training to all direct care staff regarding the clients’ personal rights. Proof will be submitted to the Department by 12/22/2021
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This requirement is not met as evidenced byBased on interviews, the licensee did not ensure C1 was accorded dignity in his/her personal relationships with staff. Interviews confirmed that on 9/2/21 S2 spoke inappropriately to C1 and told the client to “shut the f---- up’.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Bernadette Allen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 5