374604637-12-14-2023-08-AS-SJAB-CYWRGS-20231227120115

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604637
Report Date: 12/11/2023
Date Signed: 12/14/2023 09:34:42 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 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
11/01/2023 and conducted by Evaluator Alyssa Ramirez

COMPLAINT CONTROL NUMBER: 08-AS-20231101090354

FACILITY NAME:	BRAMBLEWOOD ARF		FACILITY NUMBER:	374604637
ADMINISTRATOR:	NOVAK, PARLAR		FACILITY TYPE:	735
ADDRESS:	1261 PERSHING ROAD		TELEPHONE:	(619) 392-5802
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91913
CAPACITY:	6	CENSUS: 5	DATE:	12/11/2023
		UNANNOUNCED	TIME BEGAN:	03:00 PM
MET WITH:	Licensee Parla Novak		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff hit client

Staff yelled at client

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Licensee Parla Novak and discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency.

It was reported to CCL that a staff member yelled at Client 1 (C1) (an LIC 811 Confidential Names List was provided to the facility representative to identify the clients). It was also alleged that facility staff hit C1.

LPA’s interview with C1 revealed that C1 sometimes cannot hear others when C1 has headphones in their ears.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023

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-20231101090354

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SO. CAL AC/SC, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: BRAMBLEWOOD ARF	FACILITY NUMBER: 374604637
	VISIT DATE: 12/11/2023

NARRATIVE

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C1 reported that sometimes staff will yell their name to get their attention when they have headphones on. C1 also admitted that she yells and curses in the facility and everyone else remains silent. C1 denied that anyone hits or is physically aggressive in the facility.

Interviews with facility staff revealed that no one has observed any staff yell at clients or get physically aggressive with clients.

Interview with Staff 1 (S1) revealed that C1 often yells in the facility and reported that no staff yell. S1 denied ever being physically aggressive with clients and stated that they have never observed any staff to be physically aggressive with clients.

Interview with outside agency (OA) revealed that C1 was given a 30 day notice and they are seeking a new placement for C1. OA reported that C1 gets easily frustrated and is attention seeking. OA stated that C1 has complained about staff yelling and when talking to the licensee, the licensee denied that occurs. OA reported they have never witnessed any staff yell and noted that C1 will often accuse people of yelling when they raise their voices to get C1’s attention. OA mentioned that C also had an ear infection that affected hearing.

Interview with Licensee revealed that C1 has not been getting along with the other clients and a thirty (30) day notice was issued. Licensee stated that C1 will often yell, curse and talk about inappropriate things in the facility. Licensee reported that they are trying to appease C1 while a new placement is in the works. Licensee stated that C1 will often have headphones on and cannot hear. Licensee said that staff will sometimes have to call C1’s name more than once or raise their voice to get C1’s attention due to the headphones. Licensee denied that staff yell or hit clients in care.

Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid.

An exit interview was conducted with licensee Parla Novak. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Parla Novak whose signature below verifies receipt of these rights..

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE:	DATE: 12/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023

LIC9099 (FAS) - (06/04)

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