374604001-5-19-2023-08-AS-SJAB-CSCS2J-20230531132937

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604001
Report Date: 05/19/2023
Date Signed: 05/19/2023 01:39:14 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, 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
04/20/2023 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20230420140900

FACILITY NAME:	CALI SWEETHEART		FACILITY NUMBER:	374604001
ADMINISTRATOR:	ARIANA GONZALEZ		FACILITY TYPE:	735
ADDRESS:	1063 WOODHAVEN DR		TELEPHONE:	(619) 750-4083
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	4	CENSUS: 4	DATE:	05/19/2023
		UNANNOUNCED	TIME BEGAN:	12:55 PM
MET WITH:	Agatha Nieder, Caregiver & Yarinn Gonzalez, Administrator		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Staff does not have appropriate training

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to deliver findings on the above-mentioned allegation. LPA gained access to the facility, identified herself, and met with Agatha Nieder, Caregiver to discuss the purpose of the visit. Administraot Yarinn Gonzalez, arrived during the visit.

LPA started the investigation and was able to interview clients and facility staff. LPA also reviewed records and conducted a physical inspection of the facility. It was alleged that staff does not have appropriate training. Interviews revealed that all staff have training that they receive upon hire. It was reported that staff are not properly trained and that staff are unable to communicate with the clients . The administrator and staff interviewed denied the allegation and stated that at hire the new staff members receive trainings on medication, house rules, caregiver duties and Personal and Incidentals (P&I).

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Tiffany Holmes	TELEPHONE: (619) 481-0843
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2023

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 08-AS-20230420140900

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: CALI SWEETHEART	FACILITY NUMBER: 374604001
	VISIT DATE: 05/19/2023

NARRATIVE

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Interviews revealed that staff are also provided on the job training with a seasoned staff member on the floor at the facility. A review of staff records shows that direct care staff have the appropriate training on file in providing client care. A record review revealed that the staff also have Direct Support Professional (DSP) training which is required by the San Diego Regional Center (SDRC). There are 6 staff and all 6 staff have received the training while 5 have received a certificate for their DSP training. No corroborating evidence was obtained to provide proof that staff are not properly trained.

The investigation did not produce supporting witness statements to substantiate staff does not have appropriate training. Based on the evidence obtained from interviews, and record review, the complaint allegation is unsubstantiated.

An exit interview was conducted with Yarinn Gonzalez, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2301
LICENSING EVALUATOR NAME: Tiffany Holmes	TELEPHONE: (619) 481-0843
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2023

LIC9099 (FAS) - (06/04)

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