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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604148
Report Date: 04/27/2022
Date Signed: 04/27/2022 03:46:54 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
01/19/2022 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20220119151953
FACILITY NAME:ABIGAIL'S HOMES IIFACILITY NUMBER:
374604148
ADMINISTRATOR:GONZALEZ, BRENDA ABIGAILFACILITY TYPE:
735
ADDRESS:8738 VALENCIA STTELEPHONE:
(619) 315-7407
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:4CENSUS: 3DATE:
04/27/2022
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Raquel Garcia, AdministratorTIME COMPLETED:
03:55 PM
ALLEGATION(S):
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Facility staff denies internet use for clients
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to close out a complaint. LPA identified herself, was granted entry, and stated the purpose of the visit to Raquel Garcia, Administrator. During the investigation, LPA toured the facility, and conducted interviews. It was alleged that the facility staff denies internet use for clients. Interviews revealed the house rules states all electronics and phone priveleges end at 9pm for quiet time. On or around 01/19/2022 interviews revealed that Client 1 (C1) was having behaviors and that the wifi was disconnected for a couple of days. Staff interviews revealed they did disconnect the wifi due to the client not obeying the house rules earlier that day and C1 was acting out. Interviews revealed they used wifi as a privilege and when clients were having a rough day or having behaviors the clients would not be able to use it. The allegation is substantiated. An exit interview was conducted with Raquel Garcia. A copy of this report and Licensee Appeal Rights (9058 01/16) were provided to Administrator.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2022
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 2
Control Number 08-AS-20220119151953
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: ABIGAIL'S HOMES II
FACILITY NUMBER: 374604148
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/27/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
04/28/2022
Section Cited
HSC
1537.1(b)(2)
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A licensee shall ensure the following requirements are met in providing any internet access device for client use:The device shall be made available to clients in a manner that permits shared access among all clients in the facility during reasonable hours.This requirement was not met as evidenced by:
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Licensee will print and go over new legislature with staff and provide training on it. Staff will provide a sign in sheet and documents used for training. Due to CCL by POC date of 4/28/2022
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On or around 1/19/2022, 1 out of 3 clients were denied use of internet services. This poses a potential risk to clients 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: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 04/27/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2