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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 425802105
Report Date: 01/22/2025
Date Signed: 01/22/2025 01:22:59 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/30/2024 and conducted by Evaluator Brian Phillips
COMPLAINT CONTROL NUMBER: 29-AS-20241230095254
FACILITY NAME:PEOPLE'S CARE LAKE MARIEFACILITY NUMBER:
425802105
ADMINISTRATOR:REA BONNER HALLMONFACILITY TYPE:
735
ADDRESS:2186 LAKE MARIE DRTELEPHONE:
(805) 314-2093
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY:4CENSUS: 4DATE:
01/22/2025
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Rea Hallmon, AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Facility does not have sufficient supplies
Facility is not arranging transportation
Staff left clients unattended
Staff is financially abusing clients
Staff behavior poses as a risk to the clients
INVESTIGATION FINDINGS:
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On 01/22/2025, Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced subsequent complaint investigation visit and delivery of final findings to the facility above. LPA arrived at the facility, met with Administrator Rea Hallmon, and announced the purpose of the visit.

On the allegation: Facility does not have sufficient supplies. It is alleged that clients in the facility lack things for their personal hygiene and the facility almost never has things for cleaning or soap to wash clients’ hands. It is also alleged that the house almost never has food, and the refrigerators are almost empty.

On 01/08/2025, LPA conducted a complaint investigation visit to the facility above and inspected the kitchen/food service area. The LPA observed perishable food items in good condition, with proper expiration dates precluding the perishable items from expiring. The facility has a sufficient supply of perishable and non-perishable food, which would last up to or over a week (7 days). Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Brian Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
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 4
Control Number 29-AS-20241230095254
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: PEOPLE'S CARE LAKE MARIE
FACILITY NUMBER: 425802105
VISIT DATE: 01/22/2025
NARRATIVE
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Additional perishable food items were maintained in storage at the facility and/or an extra refrigerator/freezer. All food storage procedures were observed to be adequate by LPA including the freezer and refrigerator both being the appropriate temperate Fahrenheit. There was emergency food and water in a storage room/area which was observed to be in good condition. LPA observed an appropriate amount of facility cleaning supplies, disinfectants, and other items. The facility restrooms were sufficiently stocked with soap, paper towels, and additional supplies; towels and washcloths are not shared. LPA interviewed Staff and received documentation of a facility weekly menu for clients in care as well as documented food allergies/food preferences. LPA observed that the facility maintains a food service menu for clients that lists the options for meals rotating on a weekly basis. LPA also received facility documentation of multiple monthly Grocery Receipts listing food products observed by LPA in the facility for the month of January 2025. LPA received a facility binder organizing Grocery Receipts by month for the year of 2024, with all months having multiple lengthy supporting receipts. Based on the information gathered, there is insufficient evidence to prove the facility has insufficient supplies. Therefore, the allegation is Unsubstantiated.

On the allegation: Facility is not arranging transportation. It is alleged that the designated facility transportation vehicle almost never has gasoline on the weekends because on Friday's, the facility administrator no longer puts gasoline in it. It is alleged that there have been many problems with the clients in care because they need to have their exit and many times it can't be done because there is no gasoline in the transportation vehicle.

LPA requested and received documentation from the facility above including but not limited to a monthly Vehicle Log, monthly Vehicle Maintenance with Gas Receipts, and monthly Petty Cash Register. LPA conducted record review of the Petty Cash Register that had documentation of Petty Cash Transactions with the date, purpose, amount, and receipt documented. LPA reviewed the gasoline receipts for the facility transportation vehicle, which are organized monthly by the facility. LPA observed each month in 2024 to have up to 4 to 5 gasoline receipts using the same vehicle card number. Staff stated to LPA that the facility has a corporate gasoline card provided by the Licensee for the purchase of gasoline in the facility transportation vehicles for clients. All interviews with Staff stated that the administrator is the primary driver for client appointments and/or client outings. LPA has personally observed the administrator taking clients to medical appointments or returning from medical appointments during multiple visits to the facility in 2024. Clients interviewed by LPA agreed with this statement and told LPA that they are regularly taken to their employment, on shopping excursions, and to medical appointments. Continued on 9099-C

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Brian Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 29-AS-20241230095254
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: PEOPLE'S CARE LAKE MARIE
FACILITY NUMBER: 425802105
VISIT DATE: 01/22/2025
NARRATIVE
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 No client interviewed by LPA said that they have ever been unable to be taken anywhere they wanted or needed to go due to a lack of gasoline. Based on the information gathered, there is insufficient evidence to prove the facility is not arranging transportation. Therefore, the allegation is Unsubstantiated.

On the allegation: Staff left clients unattended. It is alleged that the facility administrator is almost never at the facility. It is also alleged that clients in care at the facility were taken on a vacation trip to a theme park, but the administrator spent time at the theme park with their family and not the clients in care.

LPA requested and received the permanent monthly Staff schedule for the months of December 2024 and January 2025. The Staff schedule lists the Administrator hours as Monday-Friday 9am-5pm and Saturday-Sunday on call. LPA was told by Staff, Clients and has personally observed that the administrator is the primary driver of the transportation vehicle for client needs. LPA was also told by Staff and Clients interviewed that the administrator always sticks to the listed schedule unless there is some type of personal or medical emergency in which case the administrator will adjust the staff schedule appropriately so that there is enough staff for adequate supervision of clients. LPA interviewed both Staff and Clients about the vacation trip to the theme park in 2024, but no Staff nor Client stated that the administrator left clients unattended to attend the theme park with their family/relatives. During multiple visits to the facility in 2024 and 2025, LPA has observed Staff members actively supervising clients during activities of hygiene and food service/preparation. LPA has always observed multiple staff members in the facility at the time of a visit by LPA. Based on the information gathered, there is insufficient evidence to prove clients have been left unattended. Therefore, the allegation is Unsubstantiated.

On the allegation: Staff is financially abusing clients. It is alleged that the facility administrator takes the clients’ money for themselves. Allegedly the administrator is using client money which should be spent on food, gas and for the needs of clients.

LPA requested and received Records of Client’s/Resident’s Safeguarded Cash Resources for each client in the facility. These Records are maintained by the facility for each client, organized in a monthly binder with attached receipts for each purchase. Each month, every client will have a documented Record of Safeguarded Cash Resources which lists the date of a transaction, a supporting receipt for each transaction, and the signature of both a facility representative and the client or their representative. Records of Safeguarded Cash Resources for each client from September 2024-January 2025 showed that all listed transactions and/or withdrawal of client cash resources had supporting receipts/signatures. Contd. 9099-C

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Brian Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 29-AS-20241230095254
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: PEOPLE'S CARE LAKE MARIE
FACILITY NUMBER: 425802105
VISIT DATE: 01/22/2025
NARRATIVE
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All clients interviewed by the LPA stated that they use their money for shopping purchases and/or eating out at restaurants. LPA also conducted record review of the facility transportation vehicle log and the petty cash register for the facility. All facility transportation vehicle gasoline receipts correspond to the facility petty cash register transaction documentation and are primarily used by the same vehicle card number for payment. LPA also received facility binders documenting the Grocery Receipts for each month in 2024-2025 which also correspond to documentation in the facility petty cash register. Staff interviewed by LPA provided information about the money used for the purchase of groceries in the facility for clients, and the purchase of gasoline in the facility transportation vehicles to transport clients. LPA was told by staff that the facility maintains a corporate grocery card provided by the Licensee for the purchase of groceries, and a corporate gasoline card provided by the Licensee for the purchase of gasoline in the facility transportation vehicles for clients. Staff interviewed by LPA stated that the facility/Licensee now uses an "app" online that the facility needs to use to request specific funds and/or to record purchases. LPA had previously conducted record review of grocery and gasoline receipts maintained by the facility. No Staff or client interviewed by LPA stated that they felt the administrator had used any client money inappropriately. Based on the information gathered, there is insufficient evidence to prove staff are financially abusing clients. Therefore, the allegation is Unsubstantiated.

On the allegation: Staff behavior poses a risk to the clients. Allegedly a new staff member to the facility arrived on their first day smelling of marijuana and the day before that, they also smelled of marijuana before training.

The Reporting Party (RP) did not describe or elaborate to LPA how a staff member smelling of marijuana affected their behavior in any way during their duties at the facility. No staff member or client interviewed by the LPA corroborated the allegation of an employee smelling like marijuana and no interview stated that a staff member’s behavior posed a risk to any client. Based on the information gathered, there is insufficient evidence to prove staff do not ensure resident’s hygiene needs are met. Therefore, the allegation is Unsubstantiated.

Exit interview conducted. Copy of this report provided to the facility.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Brian Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 4