565850071-8-29-2024-29-AS-DPEA-D8NNB3-20240831101829

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850071
Report Date: 08/28/2024
Date Signed: 08/29/2024 11:46:18 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
09/26/2023 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20230926085839

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:	05:00 PM
MET WITH:	Jolly Padayao		TIME COMPLETED:	06:45 PM

ALLEGATION(S):

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Staff do not respond timely to authorized representative
Staff do not seek timely medical services for client
Staff do not provide adequate transportation for client

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 09/26/2023, Community Care Licensing Division received the above complaint allegations.

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 records at approximately 6pm. Also, additioanl interviews were conducted during today's visit.

Following is a summary of the allegations and investigation findings:

Regarding allegation “Staff do not respond timely to authorized representative.” (Continue to LIC9099c).

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-20230926085839

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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Information provided was that Staff are slow to answer the door, sometimes not answering for 10 minutes or longer. Staff interviewed denied allegation and reported that sometimes have the music on loud for clients and may take a while to hear someone at the door. Staff reported that they are not short staff and are able to meet clients needs. Clients able to communicate with LPA were interviewed and three (3) out three (3) clients interviewed confirmed that sometimes the music is on loud at the facility and they like that. Client reported that currently there are 2 to 3 staff and are satisfied with 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 do not respond timely to authorized representative” is deemed UNSUBSTANTIATED at this time.

Regarding allegation “Staff do not seek timely medical service for clients and Staff do not provide adequate transportation”. Information was provided that facility does not arrange or have transportation for clients use to visit family, go to doctors’ appointments, and participate in community events. It was reported that staff stated that they are short staffed therefore unable to provide transportation. Interview was conducted with administrator, and she reported that clients are provided transportation to medical appointments and other outings. Transportation is not provided for family visits. Administrator denied being short staff and reported that they have sufficient staff to meet the clients’ needs. Current there is only one client that required one on one staff for set mount of hours. According to administrator and clients interviewed there are three (3) staff on duty through-out the day and 1-2 staff for the night shifts. Administrator stated that she assists with making medical appointments for the clients. Administrator showed LPA the logbook of all clients scheduled medical appoints and documentation of the visits to, including but not limited to dental appointments and other special medical appointments. Client records were reviewed on 09/29/2023 and 10/03/2023 and no discrepancies were found. Other potential witnesses interviewed did not report any concerns or issues with the clients’ medical services or transportation at this time. 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 do not seek timely medical service for clients and Staff do not provide adequate transportation” 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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