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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604632
Report Date: 12/27/2023
Date Signed: 12/28/2023 07:56:38 AM

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
12/19/2023 and conducted by Evaluator Iby Strong
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20231219112842
FACILITY NAME:LOVE FIRST RESIDENCES #1FACILITY NUMBER:
374604632
ADMINISTRATOR:O'CONNELL, MICHELLEFACILITY TYPE:
735
ADDRESS:1338 BOSWORTH STTELEPHONE:
(619) 312-5299
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:6CENSUS: 6DATE:
12/27/2023
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Caregiver Tania Ozuna TIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff yelled at client in care.
Staff spoke inappropriately to client in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to initiate a complaint investigation on the above-mentioned allegations. LPA identified herself and discussed the purpose of the visit with Caregiver Tania Ozuna. House Manager Lynn Congable arrived shortly after.

On December 19, 2023, Community Care Licensing (CCL) received a complaint alleging staff yelled at Client 1 (C1) and staff spoke inappropriately to C1. During investigation, LPA Strong collected pertinent client records as well as facility documentation and conducted interviews.

According to allegation, on an undisclosed date and unnamed staff yelled at C1.
Interviews with staff revealed no information to corroborate any incidents of staff raising their voice at clients. Interview with C1 revealed that staff have corrected C1 but C1 has since learned the facility house rules. Interview with outside source did not reveal any information to corroborate an incident occurring.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 12/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2023
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-20231219112842
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: LOVE FIRST RESIDENCES #1
FACILITY NUMBER: 374604632
VISIT DATE: 12/27/2023
NARRATIVE
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It was also alleged that on an undisclosed date an unnamed staff spoke inappropriately to C1. Interview with C1 did not reveal a specific incident where staff spoke inappropriately to C1. Interview with staff did not reveal this incident occurred. Outside source interviews established that there has been no other similar incident observed or reported to them about this facility.

Based on LPA's interviews, and record reviews there is not a preponderance of evidence to prove alleged violation occurred, therefore the allegation is unsubstantiated. An exit interview was conducted with House Manager Lynn Congable to whom a copy of this report, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:

DATE: 12/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2