374604148-5-16-2022-08-AS-DPOL-CGSV3F-20220729160440

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604148
Report Date: 05/16/2022
Date Signed: 05/16/2022 12:35:41 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
01/19/2022 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20220119151953

FACILITY NAME:	ABIGAIL'S HOMES II		FACILITY NUMBER:	374604148
ADMINISTRATOR:	GONZALEZ, BRENDA ABIGAIL		FACILITY TYPE:	735
ADDRESS:	8738 VALENCIA ST		TELEPHONE:	(619) 315-7407
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	4	CENSUS: 3	DATE:	05/16/2022
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Raquel Garcia, Administrator		TIME COMPLETED:	12:10 PM

ALLEGATION(S):

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Staff interferes with residents phone calls

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 staff interferes with the resident’s phone calls. Interviews revealed the house rules states all electronics and phone privileges end at 9pm for quiet time. On 01/19/2022 it was alleged that staff unplugged the phone while the client was speaking on it. Interviews with staff did not reveal that the phone was unplugged or disconnected. Staff interviews revealed they did not disconnect any phone calls or phone cords. Interviews revealed the wifi was disconnected due to the client not obeying the house rules earlier that day, and although the wifi was disconnected it did not have anything to do with disconnecting the call the client was on. The allegation is unsubstantiated. An exit interview was conducted with Raquel Garcia. A copy of this report and Licensee Appeal Rights (9058 01/16) were emailed to Administrator after the conclusion of the visit, LPA Holmes requested an electronic message reply to confirm receipt of these documents.
This is an amended version from 03/02/2022

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 05/16/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/16/2022

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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