565802463-3-13-2026-29-AS-DPEA-DSL7WY-20260327220218

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565802463
Report Date: 03/13/2026
Date Signed: 03/13/2026 01:48:52 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
09/04/2025 and conducted by Evaluator Brian Balisi

COMPLAINT CONTROL NUMBER: 29-AS-20250904153211

FACILITY NAME:	PEOPLE'S CARE HOWE		FACILITY NUMBER:	565802463
ADMINISTRATOR:	DANIEL MORALES		FACILITY TYPE:	735
ADDRESS:	3851 HOWE RD		TELEPHONE:	(805) 398-5096
CITY:	FILLMORE	STATE: CA	ZIP CODE:	93015
CAPACITY:	6	CENSUS: 5	DATE:	03/13/2026
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Belen Rodriguez		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff are not seeking timely medical attention for client in care

Staff are not providing adequate supervision to client who is a fall risk

Staff does not ensure clients nutritional needs are met

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced subsequent complaint visit to investigate the allegations listed above. Upon arrival LPA met with Belen Rodriguez and explained the reason for the visit.
On 09/08/2025, LPA conducted an initial 10-day complaint visit to investigate the allegations listed above. At approximately 12:35 p.m. LPA conducted physical plant, interviewed staff, residents, and reviewed and obtained copies of pertinent documentation relevant to the investigation. On 10/10/2025, LPA conducted a subsequent complaint visit. LPA conducted physical plant, interviewed staff, clients, families / responsible parties and reviewed and obtained copies of pertinenet documentation relevant to the investigation. Today LPA conducted physical plant and interviewed staff.
It was reported that “facility staff did not seek timely medical attention for a client in care and that “Staff did not provide adequate supervision to a client who is a fall risk” as it was alleged that Client #1 (C1) experienced multiple falls and that the facility did not provide adequate supervision, follow-up, or intervention in response to these incidents.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

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-20250904153211

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: 03/13/2026

NARRATIVE

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Continued from 9099
It was also alleged that Client 2 (C2) exhibited abusive behavior toward staff and that the facility failed to adequately address the needs of C1 and C2 by not maintaining current and accurate records and care plans. LPA conducted interviews and reviewed facility records. Records and interviews confirmed that C1 experienced falls on 09/01/2025 and 09/10/2025.
On 09/01/2025, C1 was in the kitchen placing a dish in the dishwasher when they reportedly lost their balance and fell backward, striking their head on the counter behind them. Staff immediately responded to assist C1 and assess their condition. Staff contacted 911 and notified the Administrator. Paramedics arrived and transported C1 to a local hospital for evaluation. C1 was discharged the same day. Hospital discharge documentation reviewed by LPA did not indicate findings of a serious head injury.
On 09/10/2025, C1 informed staff that they had fallen in the restroom while opening the door to exit. Staff assessed C1, obtained vital signs, and observed that within approximately 15 minutes C1’s blood pressure increased from 139/122 to 143/135. Staff contacted 911 and paramedics transported C1 to a local hospital for further evaluation. C1 was discharged the same day. Hospital discharge documentation reviewed by LPA did not indicate findings of a serious head injury.
Interviews with seven (7) staff indicated that C1 has a history of behaviors that staff described as attention-seeking related to falls. Several staff reported observing situations in which C1 appeared to lower themselves to the floor, slowly slide out of a chair, or place objects in walking areas within their room that could create obstacles. Staff reported these behaviors have occurred on multiple occasions.
C1 relocated from the facility at the end of September 2025. C1’s most recent care plan, dated 02/06/2025, did not identify C1 as requiring one-to-one supervision or indicate that C1 was assessed as a fall risk. Facility staff reported that a new assessment had been planned; however, C1 was no longer residing at the facility at the time the reassessment was to occur.

Regarding the allegation that C2 exhibited aggressive behavior toward staff and that the facility did not adequately address this behavior, LPA reviewed C2’s records. Records reviewed included the Pre-Placement Behavioral Support Plan dated 07/14/2025, 30-Day Behavior Assessment and Individualized Service Plan dated 08/18/2025, Needs and Services Plan dated 09/06/2025, Individual Service Plan Quarterly Report dated 11/07/2025, and Physician’s Report dated 10/27/2025. These records documented identified behaviors including topic perseveration, verbal outbursts, self-injurious behavior, physical aggression, elopement, and non-compliance.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 29-AS-20250904153211

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: 03/13/2026

NARRATIVE

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Continued from 9099-C
The plans included intervention strategies, progress charting, and behavioral support recommendations addressing the identified behaviors. LPA did not observe documentation indicating the presence of any prohibited health conditions that would prevent C2 from being admitted to or retained in the facility. LPA's interview with seven (7) staff regarding C2’s behavior reflected that one (1) staff reported observing C2 spit at and hit staff. Six (6) staff stated they had not observed C2 spit at or hit staff. All seven (7) staff stated that when C2 exhibits aggressive behaviors, staff are trained to redirect C2 and communicate in a calm manner. Six (6) staff reported they do not have concerns regarding C2 residing at the facility. LPA did not observe any incident reports indicating C2 spit or hit staff. 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, “Facility staff did not seek timely medical attention for a client in care" and "Staff are not providing adequate supervision to client who is a fall risk"" are deemed Unsubstantiated at this time.

It was reported that "Staff does not ensure clients nutritional needs are met" as it was alleged that there is not enough food for clients in care and client are only provided oatmeal and cereal for breakfast. LPA's interview with seven (7) staff members reflected that five (5) staff stated they have consistently observed that the facility maintains sufficient groceries and food available for residents, including options beyond oatmeal and cereal. Staff also reported that two (2) clients frequently request oatmeal or cereal for breakfast regardless of other breakfast items prepared by staff. Two (2) staff reported there were at least two (2) occasions when only oatmeal and cereal were available for breakfast. Staff stated that during those instances the Administrator was notified and additional groceries were purchased the same day.
Staff further reported that during this time period the facility was adjusting to the addition of two (2) new clients who consumed larger portions compared to other clients. All seven (7) staff stated that groceries are typically purchased at least once per week and that the frequency has since increased to two (2) to three (3) times per week depending on the facility’s needs. Staff reported that food orders have been adjusted to accommodate clients appetites and dietary needs.
LPA reviewed grocery purchase receipts and confirmed that between June 10, 2025 and October 4, 2025, groceries were purchased approximately two (2) times per week. LPA's interview with five (5) clients in care at the time of the complaint reflected that all five (5) clients did not have concerns regarding the variety of food provided or the availability of food at the facility

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 29-AS-20250904153211

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: 03/13/2026

NARRATIVE

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continued from 9099-C

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 ensure clients nutritional needs are met" 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: 03/13/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2026

LIC9099 (FAS) - (06/04)

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