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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604579
Report Date: 03/27/2025
Date Signed: 03/27/2025 02:26:35 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
09/26/2024 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20240926135250
FACILITY NAME:HEALING ADULT GROUP CARE INC.FACILITY NUMBER:
374604579
ADMINISTRATOR:SAIF, SALLYFACILITY TYPE:
735
ADDRESS:3919 EL CANTO DR.TELEPHONE:
(248) 307-6966
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:6CENSUS: 5DATE:
03/27/2025
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Raafat Azeez, StaffTIME COMPLETED:
01:48 PM
ALLEGATION(S):
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Licensee did not provide incontinence care
Licensee did not provide client medical care
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 Raafat Azeez, Staff, to whom she disclosed the reason for the visit.

LPA conducted interviews and obtained and reviewed pertinent records. It was alleged that the licensee did not provide incontinence care to clients. Interviewes revealed the clients get their incontinence supplies through their insurance. Interviews revealed they deliver the disposable liners and adult briefs, pull ups or diapers once a month. LPA observed incontinece supplies at the facility in the bathrooms and in the garage. Interrviews revealed staff assist the clients with changing and cleaning after using the bathroom. Interviews revealed staff have been trained on how to properly use the incontinent supplies. Interviews revealed the clients take showers when they come home from program. Interviews also revealed that if a client has a bowel movement (BM) throughout the night they are showered again. Interviews revealed staff will wipe clients down before program if they have only urinated. Interviews revealed staff have not let the clients the leave in a dirty brief nor have they let them leave the facility smelling of urine or a bowel movement.

LPA observations revealed a sufficient amount of incontinence products in the facility. LPA also observed that the facility was not malodorous of urine or feces.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/27/2025
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-20240926135250
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: 03/27/2025
NARRATIVE
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It was alleged that the licensee did not provide client medical care. Interviews revealed that staff provide medical care to the clients when they need it. Interviews revealed they assess clients with needing care if they have a change in behavior, if they are able to voice it and or they see a difference in how the client usually behaves. Interviews revealed there have been incidents that have happened but no injury or medical assistance was needed.

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 C1 and other 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 Raafat Azeez, 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: 03/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2