565802463-10-17-2024-29-AS-DPEA-DAHMUT-20241029095540

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565802463
Report Date: 10/17/2024
Date Signed: 10/17/2024 03:55:46 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
07/30/2024 and conducted by Evaluator Brian Balisi

COMPLAINT CONTROL NUMBER: 29-AS-20240730104446

FACILITY NAME:	PEOPLE'S CARE HOWE		FACILITY NUMBER:	565802463
ADMINISTRATOR:	DANSHELLE DAY		FACILITY TYPE:	735
ADDRESS:	3851 HOWE RD		TELEPHONE:	(805) 398-5096
CITY:	FILLMORE	STATE: CA	ZIP CODE:	93015
CAPACITY:	6	CENSUS: 4	DATE:	10/17/2024
		UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Danshelle Day		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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Staff are not meeting the resident care needs
Staff did not provide medical attention in a timely manner.
Staff does not award resident privacy during phone calls.
Staff did not provide resident's records to authorized representative.
Staff did not communicate with resident's authorized representative in a timely manner.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Brian Balisi conducted a subsequent complaint visit to deliver final findings for the above allegation. During today’s visit, LPA met with Staff and explained the reason for the visit. Administrator arrived shortly after.

On 08/06/2024, the initial complaint visit was conducted by LPA between approximately 10:00 a.m. - 02:30 p.m. During the visit, LPA’s conducted physical plant, interviewed staff, clients, as well as, reviewed and obtained copies of pertinent documentation relevant to the investigation. On 09/16/2024, LPA interviewed Tri-Counties Regional Center (TCRC) Quality Assurance Specialist (QAS) Patrick Brown. On 10/10/2024 LPA interviewed QAS Liz-Aced-Arnett.

It was reported that "Staff are not meeting the resident care needs" as it was alleged, that Client #1 (C1) is not showered or groomed in a timely manner and is not provided a sufficient amount of food.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

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-20240730104446

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: PEOPLE'S CARE HOWE	FACILITY NUMBER: 565802463
	VISIT DATE: 10/17/2024

NARRATIVE

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Continued from 9099

Interviews with three (3) out of four (4) clients indicated that staff consistently remind and encourage them to take showers and get ready. None of these clients raised concerns about the portions or variety of food provided. One client was unavailable for an interview during the visits. A review of shower logs from May 1 to July 31, 2024, showed that each client received showers at least once a day. Additionally, interviews with two Quality Assurance Specialists (QAS) from Tri-Counties Regional Center (TCRC) revealed that they have visited the home multiple times and have never seen any clients who appeared un-showered or unkempt due to staff neglect. The QAS also reported that they have never observed a lack of food supply in the home, and no clients have raised concerns about food portions during their visits. Furthermore, the QAS did not identify any immediate or potential issues regarding staff meeting the needs of clients at this time. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation, “Staff are not meeting the resident care needs” is deemed Unsubstantiated at this time.

It was reported that "Staff did not provide medical attention in a timely manner", as it was alleged that staff did not bring C1 to the hospital in a timely manner. Interviews and record reviews indicated that on the morning of June 15, 2024, C1 went home to their family, who noticed an excessive buildup of ear wax. The family informed the Administrator about this concern and requested that a medical appointment be made. C1 returned to the facility on the evening of June 15, did not complain of any pain, and staff did not observe any excessive ear wax. The Administrator stated that the appointment was scheduled for July 1st , however, on June 18, the family contacted the Administrator for an update regarding C1’s earache. In response, the Administrator picked up C1 from their day program and took C1 to a local medical center. The Administrator informed the family at 2:00 p.m. that C1 was prescribed an antibiotic and ibuprofen for pain if needed. Interviews with three out of four clients in care revealed that none of them expressed concerns about staff not providing timely medical attention. One client was unavailable for an interview during the visits. Additionally, interviews with two Quality Assurance Specialists (QAS) from Tri-Counties Regional Center (TCRC) confirmed that they have visited the home multiple times and also do not have concerns regarding the timeliness of medical attention provided by staff. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 29-AS-20240730104446

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: PEOPLE'S CARE HOWE	FACILITY NUMBER: 565802463
	VISIT DATE: 10/17/2024

NARRATIVE

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Continued from 9099-C
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation, “Staff did not provide medical attention in a timely manner" is deemed Unsubstantiated at this time.

It was reported that "Staff does not award resident privacy during phone calls" as it was alleged that staff tell C1 to put phone on the speaker when in use. Interviews with three (3) out of four (4) clients indicated that all three are allowed to use their phones privately anywhere in the home. None of these clients expressed concerns about staff listening in on their phone conversations. One client was unavailable for an interview during the visits. Interviews with two Quality Assurance Specialists (QAS) from Tri-Counties Regional Center (TCRC) revealed that they have visited the home multiple times and have never observed staff listening to clients’ phone conversations. The QAS did not identify any concerns regarding staff failing to provide privacy for clients in care. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation, “Staff does not award resident privacy during phone calls" is deemed Unsubstantiated at this time.

It was reported that "Staff did not provide resident's records to authorized representative" as it was alleged that the Administrator has not provided records of money as requested. Interviews and record reviews indicated that the Administrator had not received any requests from C1's family concerning C1's Personal and Incidentals (P&I). The LPA requested documentation of any such requests from C1's family, but none was provided. Interviews with two Quality Assurance Specialists (QAS) from Tri-Counties Regional Center (TCRC) confirmed that they have visited the home multiple times and did not express any concerns about staff failing to provide client records in a timely manner. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation, “Staff did not provide resident's records to authorized representative" is deemed Unsubstantiated at this time.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 29-AS-20240730104446

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: PEOPLE'S CARE HOWE	FACILITY NUMBER: 565802463
	VISIT DATE: 10/17/2024

NARRATIVE

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Continued from 9099-C

It was reported that "Staff did not communicate with resident's authorized representative in a timely manner" as it was alleged that the Administrator refuses to speak with the family of C1. Interviews and record reviews showed that the Administrator last spoke with C1's family on the phone on July 11, 2024 and August 6, 2024, last emailed them on July 18, 2024, and last texted them on August 2, 2024. Additionally, interviews with three out of four clients indicated that if their family or responsible party were on the phone and they wanted to speak with staff, they would simply hand the phone to staff to facilitate the conversation. Interviews with two Quality Assurance Specialists (QAS) from Tri-Counties Regional Center (TCRC) confirmed that they have visited the home multiple times and did not express any concerns regarding staff failing to communicate with authorized representatives in a timely manner. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation, “Staff did not communicate with resident's authorized representative" is deemed Unsubstantiated at this time.

Exit interview conducted and copy of report issued.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2024

LIC9099 (FAS) - (06/04)

Page: 4 of 4