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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600197
Report Date: 02/18/2021
Date Signed: 02/19/2021 03:00:28 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/15/2020 and conducted by Evaluator Gloria Meza-Gonzalez
PUBLIC
COMPLAINT CONTROL NUMBER: 08-CR-20200715092847
FACILITY NAME:NEW ALTERNATIVES, INC. #16FACILITY NUMBER:
374600197
ADMINISTRATOR:MATTHEW JAEGERFACILITY TYPE:
733
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:81CENSUS: 27DATE:
02/18/2021
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Michelle Jenks TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff provided minor access to a harmful hair product while in care
INVESTIGATION FINDINGS:
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On 02/18/2021 at 3:00 PM, Licensing Program Analyst (LPA) Gloria Meza-Gonzalez conducted a tele-inspection with Assistant Program Director 2 (APD2) Michelle Jenks via Microsoft Teams due to COVID-19 pandemic, Public Health Emergency to deliver the findings for the above allegation. During the investigation, LPA Meza-Gonzalez reviewed special incident reports, Staff #1 (S1) evaluation reports, Client #1 (C1)’s (see confidential name list, LIC811, dated: 02/18/2021) needs and service plan and medical notes. LPA Nicole Strickland interviewed APD1; and LPA Meza-Gonzalez interviewed S1, Staff #2 (S2), Staff #3 (S3), Staff #4 (S4), C1, and Client #4 (C4). Client #2 (C2) and Client #3 (C3) did not respond to LPA Meza-Gonzalez’s attempts.

On 07/15/2020, Community Care Licensing (CCL) received an allegation that S1 provided C1 access to a harmful hair product while in care. Specifically, it was reported that S1 gave C1 a box of hair product so that C1 would be able to perm C1’s own hair. Confidential interviews revealed that S1 did provide the hair product to C1 without approval. C1 permed C1’s own hair without S1’s supervision which resulted in C1 sustaining burn marks on C1’s scalp. C1 was taken to emergency room to treat the burn.
**continue on page 2
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2021
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 3
Control Number 08-CR-20200715092847
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: NEW ALTERNATIVES, INC. #16
FACILITY NUMBER: 374600197
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/18/2021
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
02/19/2021
Section Cited
ILS
87065.2(b)(1)
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Personnel Duties Direct care staff shall perform the following duties: Supervision, protection, and care of children at all times, individually and in groups.

This requirement is not met as evidenced by:
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The staff was counseled on 07/09/2020 and had resigned on 07/24/2020.
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Based on the reports and interviews gathered, S1 did not provide supervision, protection, and care when S1 provided C1 with a harmful hair product which C1 used without staff supervision, resulting in C1 sustaining burns to C1’s scalp. This poses an immediate health, safety and personal rights risk of harm to children placed in care.

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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: Cynthia Gray
LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2021
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2021
LIC9099 (FAS) - (06/04)
Page: 3 of 3
Control Number 08-CR-20200715092847
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: NEW ALTERNATIVES, INC. #16
FACILITY NUMBER: 374600197
VISIT DATE: 02/18/2021
NARRATIVE
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Based on confidential interviews and record review, the allegation that S1 provided C1 a harmful hair product while in care is substantiated. The preponderance of evidence standard has been met. This poses an immediate health, safety and personal rights risk of harm to C1 while in care. Facility is cited for violation of Interim Licensing Standards (ILS) v3.0 Personnel Duties 87065.2(b)(1) . See page LIC9099D for the cited deficiency.

An exit interview was conducted with APD2 Jenks. A copy of this report and a Confidential Names List (LIC 811) were reviewed and emailed to APD2 for signature with "read receipt" notification to verify that the licensee received the LIC9099. The signed copy will be retained in the facility file.
SUPERVISORS NAME: Cynthia Gray
LICENSING EVALUATOR NAME: Gloria Meza-Gonzalez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/18/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/18/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 3