561703573-7-31-2024-29-AS-DPEA-D7PURH-20240731154845

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 561703573
Report Date: 07/30/2024
Date Signed: 07/31/2024 12:22:53 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
12/21/2023 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20231221134959

FACILITY NAME:	ELMS RESIDENTIAL CARE		FACILITY NUMBER:	561703573
ADMINISTRATOR:	HIGGINS, FE LILIA 98		FACILITY TYPE:	740
ADDRESS:	67 EAST BARNETT		TELEPHONE:	(805) 643-2176
CITY:	VENTURA	STATE: CA	ZIP CODE:	93001
CAPACITY:	54	CENSUS: 42	DATE:	07/30/2024
		UNANNOUNCED	TIME BEGAN:	03:30 PM
MET WITH:	Irina Zendeja, Administrator Assistant		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Illegal drug use at the facility

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to deliver investigation finding. Upon arrival LPA met with Irina Zendeja. The reason for the visit was explained.

On 12/21/2023, Community Care Licensing Division received a complaint alleging illegal drug use at the facility. It was reported that there is illegal drug use occurring at this facility and that “marijuana and worse drugs than pot are being used at this board and care”. The complaint was referred to the Community Care Licensing (CCL) Investigations Branch (IB) and assigned to Investigator Johnny Canto.

On 12/22/2023, LPA Chochian conducted initial complaint visit to this facility for the above complaint allegation. LPA met with staff Marysol Magallanas and later with Administrator Fe Higgins. During the initial visit, at approximately 11am, LPA toured the facility with staff. At approximately 12pm, LPA reviewed records and obtained copies of available records. During the resident room tour at approximately 11:15am, LPA interviewed random residents. (Continue to LIC9099c).

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel Chochian	TELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024

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 29-AS-20231221134959

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: ELMS RESIDENTIAL CARE	FACILITY NUMBER: 561703573
	VISIT DATE: 07/30/2024

NARRATIVE

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On 12/29/2023, between the hours of 2pm-4pm, Investigator Canto conducted interviews with Administrator, staff, and random residents. Also, on 01/03/2024 at approximately 3:45pm, Investigator Canto conducted interview with Resident #1 (R1).

Information gathered during the course of the investigation revealed that residents have never seen any person use illegal drugs in the facility. The facility’s population consists of clients who are verbal and aware of their surroundings and would not hesitate to make such allegations known, if they were valid. Interviews conducted with staff denied allegation and stated that they have no knowledge of anyone at the facility has engaged in illegal drug use. Administrator also denied knowledge of illegal drug use at the facility. Based on the above information gathered although the allegation may be valid, there is insufficient evidence to support the allegation or that a violation occurred; therefore, the allegation “Illegal drug use at the facility” is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. Appeal rights/ a copy of the report was provided.

SUPERVISOR'S NAME: Desaree Perera	TELEPHONE: (818) 596-4347
LICENSING EVALUATOR NAME: Zabel Chochian	TELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2024

LIC9099 (FAS) - (06/04)

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