374604579-4-23-2025-08-AS-SJAB-DH6PGH-20250530111819

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604579
Report Date: 04/23/2025
Date Signed: 04/23/2025 01:49:46 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
11/04/2024 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20241104115058

FACILITY NAME:	HEALING ADULT GROUP CARE INC.		FACILITY NUMBER:	374604579
ADMINISTRATOR:	SAIF, SALLY		FACILITY TYPE:	735
ADDRESS:	3919 EL CANTO DR.		TELEPHONE:	(248) 307-6966
CITY:	SPRING VALLEY	STATE: CA	ZIP CODE:	91977
CAPACITY:	6	CENSUS: 5	DATE:	04/23/2025
		UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Akram Askar, Staff		TIME COMPLETED:	01:35 PM

ALLEGATION(S):

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Facility staff pushed resident
Facility staff did not assist resident with ambulating as needed

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to close out the complaint investigation. LPA introduced herself, was granted entry, and met with Akram Askar, Staff to whom she disclosed the reason for the visit.

LPA conducted interviews and obtained and reviewed pertinent records. It was alleged that the facility staff pushed resident. Interviews revealed that the staff have not pushed any clients or pushed them out the door. Interviews revealed that the staff work closely with the clients and there are a few that require help to and from the bus going and coming from program. Interviews revealed that Client 1 (C1) needs help while ambulating and they help C1 while walking up and down the hill to get to the bus.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 04/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2025

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-20241104115058

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: HEALING ADULT GROUP CARE INC.	FACILITY NUMBER: 374604579
	VISIT DATE: 04/23/2025

NARRATIVE

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It was alleged that the facility staff did not assist resident with ambulating as needed. Interviews revealed the staff are helpful and assist the clients with Activities of Daily Living (ADL's). Interviews with staff revealed they assist the clients with showers, meals, getting dressed, walking, changing under garments, and medications. Interviews revealed that there are two clients in particular that require assistance up the hill to the bus for program.

LPA Holmes collected pertinent client records and based on C1’s Physician Report dated 09/12/2024 C1 is diagnosed with Autism and Severe Intellectual Disability, is unable to communicate; C1 requires assistance with all grooming, medication, bathing, toileting, and management of personal resources which staff assists C1 with.
Based on C1’s records collected, C1 is non-verbal and unable to communicate needs.

The Department has investigated the above-mentioned allegations and based on interviews with staff, clients and outside sources, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted with Akram Askar, Staff, to whom a copy of this report, LIC 811 Confidential Name List, and the Licensee Appeal Rights (LIC9058 03/22), were provided at the conclusion of the visit.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 04/23/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2025

LIC9099 (FAS) - (06/04)

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