565850071-8-29-2024-29-AS-DPEA-D8NNGM-20240831102721

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850071
Report Date: 08/28/2024
Date Signed: 08/29/2024 11:43:24 AM

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
10/03/2023 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20231003100423

FACILITY NAME:	CARE FOR PEOPLE		FACILITY NUMBER:	565850071
ADMINISTRATOR:	JOLLY PADAYAO		FACILITY TYPE:	735
ADDRESS:	1545 CHURCH STREET		TELEPHONE:	(805) 285-0619
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93065
CAPACITY:	4	CENSUS: 4	DATE:	08/28/2024
		UNANNOUNCED	TIME BEGAN:	04:15 PM
MET WITH:	Jolly Padayao, Administrator		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff spoke inappropriately to client.
Staff did not allow client to use own cash resources.
Staff used inappropriate forms of discipline with client.
Staff yell at clients.
Staff did not treat clients with dignity.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted a subsequent complaint visit to the facility. The purpose of the visit is to deliver investigation findings. Upon arrival LPA met with staff and explained the reason for the visit. Entrance interview conducted.

On 10/03/2023, Community Care Licensing Division received the above complaint allegations. It was alleged that staff speak inappropriately to client; staff use inappropriate forms of discipline with client; staff yell at clients and do not treat clients with dignity. It was also mentioned that staff did not allow client to use own cash resources.

Investigation consist of interview with the clients and staff on 09/29/2023 from approximately 2pm-2:45pm, and interview with Administrator on 10/03/2023 at approximately 5:40pm and reviewed facility records and client cash resource records at approximately 6pm. Additional interviews conducted during today's visit. Following is a summary of the allegations and investigation findings:

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

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-20231003100423

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: CARE FOR PEOPLE	FACILITY NUMBER: 565850071
	VISIT DATE: 08/28/2024

NARRATIVE

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Regarding allegation “Staff used inappropriate forms of discipline with client.” – Information provided was that administrator would neglect client emotional needs. Additional information was provided that when a client is having an emotional breakdown and ask administrator Jolly for help, she will tell clients to "go away" and "go to your room". It was also mentioned that administrator would withdrawal love and attention as a form of punishment. Clients able to communicate with LPA were interviewed and three (3) out three (3) clients interviewed expressed being satisfied with the facility staff, administrator and the care provided. Clients interviewed did not report any inappropriate actions by staff or administrator. Staff and administrator denied the allegation and expressed that clients are not treated inappropriately. Potential witnesses interviewed reported that they have not witness any client be approached inappropriately by staff or the administrator. 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 “Staff used inappropriate form of discipline with client” is deemed UNSUBSTANTIATED at this time.

Regarding allegation “Staff did not allow client to use own cash resources”. Information was provided that Administrator Jolly wanted to control C2 and would not allow C2 to spend own money on things C2 wanted to purchase. C2 was interviewed and did not report any issues with receiving cash from the facility staff. Staff and administrator denied allegation and reported that they assist with three clients cash resources at the facility and clients receive their cash to purchase what they what or need. Administrator stated that they assist clients to budget and manage their cash resource. Administrator and staff denied allegation. Client records were reviewed on 09/29/2023 and 10/03/2023 and no discrepancies were found. 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 “Staff did not allow client to use own cash resources” is deemed UNSUBSTANTIATED at this time.

Regarding allegation “Staff yell at clients”. Information was reported that Administrator Jolly would yell at the clients. Staff and administrator denied the allegation. Staff reported that they have never yelled at anyone, and they have not witness administrator to yell at any client. Three (3) out three (3) clients able to communicate with LPA were interviewed and expressed that they have not been yelled at by staff or administrator. Clients expressed that the clients yell at each other and not the staff.
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 “Staff yell at clients” is deemed UNSUBSTANTIATED at this time. (Continue to LIC9099c).

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20231003100423

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: CARE FOR PEOPLE	FACILITY NUMBER: 565850071
	VISIT DATE: 08/28/2024

NARRATIVE

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Regarding allegation “Staff did not treat clients with dignity”. Information was provided that whenever administrator Jolly was angry with clients, she would speak in Tagalog so clients could not understand what she was saying. Staff and administrator denied the allegation and reported that all clients are treated well, and no one is mistreated or disrespect. Three (3) out three (3) clients able to communicate with LPA were interviewed and expressed that they are not mistreated, and they are respected and treated well by staff and administrator. 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 “Staff did not treat clients with dignity” is deemed UNSUBSTANTIATED at this time.

Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 08/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2024

LIC9099 (FAS) - (06/04)

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