374604245-11-9-2022-08-AS-IESA-CLP4G7-20221130180505

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604245
Report Date: 11/09/2022
Date Signed: 11/09/2022 03:20:53 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
10/04/2022 and conducted by Evaluator Vicky Williamson

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20221004170756

FACILITY NAME:	CHLOE'S HOME		FACILITY NUMBER:	374604245
ADMINISTRATOR:	ENGAY, ERWIN		FACILITY TYPE:	735
ADDRESS:	228 CARTER STREET		TELEPHONE:	(619) 995-8874
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	4	CENSUS: 3	DATE:	11/09/2022
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Licensee Erwin Engay		TIME COMPLETED:	02:35 PM

ALLEGATION(S):

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Staff did not prevent client behaviors that resulted in damage to neighbors’ property

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Vicky Williamson conducted a complaint visit to deliver findings on the above allegation. LPA was greeted and allowed entry into the facility by Licensee Erwin Engay, to whom LPA discussed the purpose of the visit.

The Department’s investigation consisted of interviews with staff, client, witnesses, outside sources and a review of records to include client records. It was alleged that staff did not prevent client behaviors that resulted in damage to neighbors, property. It was reported that a client at the facility caused property damage to a neighbor’s fence knocking out two panels. Documents received confirmed that two panels were missing from the fence in two separate areas of the fence; however, the dates and times were not confirmed. Additional information reported revealed that staff are not always present when clients are observed in the backyard of the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022

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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Control Number 08-AS-20221004170756

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: CHLOE'S HOME	FACILITY NUMBER: 374604245
	VISIT DATE: 11/09/2022

NARRATIVE

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An interview conducted with an outside source revealed that incidents were observed regarding damage to a fence located between the facility and another residence; however they are unsure if staff were present and stated that staff are usually present when clients are outside in the backyard.

Interview conducted with a witness revealed that clients have been observed in the front area of the facility wandering down the street alone displaying disruptive behavior, appearing agitated and using profanity. The witness stated that staff have been observed coming outside to assist the clients, however the exact time frame of the staffs’ arrival to assist the client that is outside of the facility is unknown. The same witness revealed that they observed a client outside of the facility earlier in the day prior to LPA’s visit on 10/10/22, alone with no staff present. The exact time was unknown. Staff present at the facility on 10/10/22, denied anyone leaving the facility alone and unsupervised.

An interview with Licensee Erwin Engay and Administrator Don Longalong acknowledged that clients do become aggressive sometimes and have loud outburst and hit things. The clients like to come outside in the backyard of the facility; however, they are always supervised whether they are inside or outside of the facility. Per Licensee and Administrator, staff are in close contact with the clients while they are outside in the backyard of the facility. Per Licensee Erwin Engay, an incident occurred involving Client 1 (C1) provoking Client 2 (C2) causing them to become upset and hitting the neighbor’s fence with their hands and elbow, pushing out one of the panels. Licensee revealed that they observed the incident and were present outside in the backyard when the incident occurred; however, they were unable to stop the incident before it happened. Licensee and Administrator revealed that the fence was repaired and will be replaced with a taller fence.

An interview with C1 did not disclose any information regarding the incident involving them and C2 or anything relating to damage to the fence; however they indicated that they don’t like to be outdoors much. C1 stated that when they are outside in the backyard, staff are present and follow them if they try to leave the facility alone. C2 and Client 3 (C3) declined to be interviewed.

The investigation concluded that interviews conducted revealed that property damage to a neighbor’s fence was caused by clients from the facility. Incidents involved the panels of the fence being knocked down on a few occasions. Although there was damage to the neighbors’ fence, there is no collaborating evidence to determine there was a lack of care and supervision provided to the clients during the time the incident occurred.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20221004170756

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: CHLOE'S HOME	FACILITY NUMBER: 374604245
	VISIT DATE: 11/09/2022

NARRATIVE

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Per staff and outside sources, the panels on the fence has been repaired and licensee is in the process of putting up a taller fence.

The Department investigation has found that there is insufficient evidence to determine that staff did not prevent client behaviors that resulted in damage to neighbors’ property. Based on interviews and documentation, allegation is unsubstantiated. Although the allegation may have occurred or is valid, there is not a preponderance of the evidence to prove the alleged violation occurred.

An exit interview was conducted with Licensee Erwin Engay and a copy of this report along with the Licensee/Appeal Rights (LIC 9058) were provided to Licensee Erwin Engay, and the signature on this form acknowledges receipt of these rights.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Vicky Williamson
LICENSING EVALUATOR SIGNATURE:	DATE: 11/09/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/09/2022

LIC9099 (FAS) - (06/04)

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