565802463-4-26-2023-29-AS-JAPL-CS9PSC-20230528113407

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565802463
Report Date: 04/26/2023
Date Signed: 04/26/2023 03:44:00 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
03/17/2023 and conducted by Evaluator Teresa Camara

PUBLIC

COMPLAINT CONTROL NUMBER: 29-AS-20230317082841

FACILITY NAME:	PEOPLE'S CARE HOWE		FACILITY NUMBER:	565802463
ADMINISTRATOR:	TANYA KRAMER		FACILITY TYPE:	735
ADDRESS:	3851 HOWE RD		TELEPHONE:	(805) 398-5096
CITY:	FILLMORE	STATE: CA	ZIP CODE:	93015
CAPACITY:	6	CENSUS: 4	DATE:	04/26/2023
		UNANNOUNCED	TIME BEGAN:	11:09 AM
MET WITH:	Belen Gutierrez		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff forced client to take a cold shower as punishment for behaviors

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint visit regarding the above noted allegation. LPA was joined by Tri-Counties Regional Center Quality Assurance Specialist (QAS) Liz Aced-Arnett. LPA explained the reason for the visit to interim administrator Belen Gutierrez.

During the visit LPA and QAS interviewed staff 1 (S1) at 11:23 a.m. and attempted to interview client 1 (C1) at 12:11 p.m but C1 refused to be interviewed. C1 refused to be interviewed during LPA's previous visit on 3/20/2023. At 12:25 p.m. LPA reviewed and obtained pertinent documents. Based on interviews and review of records, LPA found no evidence of client being forced to take cold showers. According to staff, C1 takes showers on their own and prepares the water temperature on their own. When C1 exits the shower there does not appear to be any evidence of client's skin being irritated by the water temperature. No staff have observed any other staff force or suggest client take a cold shower as punishment. Therefore, the allegation staff forced client to take a cold shower as punishment is deemed Unsubstantiated at this time. Exit interview conducted and report emailed to administrator.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jeralyn Ann Pfannenstiel
LICENSING EVALUATOR NAME: Teresa Camara
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2023

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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