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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 191502075
Report Date: 01/26/2023
Date Signed: 02/07/2023 12:48:05 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
LA & TRI-COASTAL CR, 1000 CORPORATE CNTR DR. #200A
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/12/2022 and conducted by Evaluator Larry Cabral
PUBLIC
COMPLAINT CONTROL NUMBER: 32-CR-20221012161800
FACILITY NAME:MCKINLEY CHILDREN'S CENTER, INC.FACILITY NUMBER:
191502075
ADMINISTRATOR:DUSTIN VANDER HAARFACILITY TYPE:
733
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:16CENSUS: 15DATE:
01/26/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Patricia White, DirectorTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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Minor was inappropriately restrained while in care
INVESTIGATION FINDINGS:
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On January 26, 2023 at 11:30 AM Licensing Program Analyst Larry Cabral (LPA) conducted a follow-up inspection for the purpose of providing findings for the above complaint allegations. LPA Cabral met with the STRTP Director Patricia White.

During the course of the investigation, LPA Cabral interviewed two facility staff on 10/19/22, one facility staff on 12/28/22 and another facility staff on 1/19/23. LPA interview one client on 10/25/22 and attempted to interview two clients on 1/13/23 (see Confidential Names Form LIC 811 dated January 26, 2023). LPA Cabral interviewed one county social worker (CSW) on 10/25/22. LPA reviewed incident reports and health services visit forms. LPA reviewed the other agencies investigative report on 1/23/23.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jean Herring
LICENSING EVALUATOR NAME: Larry Cabral
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
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 2
Control Number 32-CR-20221012161800
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
LA & TRI-COASTAL CR, 1000 CORPORATE CNTR DR. #200A
MONTEREY PARK, CA 91754
FACILITY NAME: MCKINLEY CHILDREN'S CENTER, INC.
FACILITY NUMBER: 191502075
VISIT DATE: 01/26/2023
NARRATIVE
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On 10/12/22, the Department received a complaint reporting that C1 had exited the facility with two or three other clients. It was alleged that when the clients tried to go back into the facility, staff members would not let them go back in. Clients started kicking the door and hitting windows. It was alleged that staff corralled them and C1 was restrained resulting in scrapes/scars to his hand and some injuries/redness to his face.

A review of incident reports revealed that on 9/26/22, C1 was placed in a 2-person standing restraint for less than a minute and transitioned to a 3-person floor restraint for 13 minutes due to C1’s unsafe behavior (throwing objects at people, kicking, scratching, attempting to bite). Per Health Services Visit Report exam dated 9/26/22, client was observed with unlabored breathing throughout witnessed restraint and was not observed to be in medical distress. Staff/nurse did not observe any broken skin or injuries. LPA also reviewed several other incident reports involving restraints applied to C1 lasting from 3 minutes to 15 minutes. All staff interviewed denied inappropriately restraining C1 indicating that they follow Pro-Act intervention procedures at all times and properly document each incident involving restraint.

Based on interviews and record review, It cannot be determined whether C1 was inappropriately restrained at any time while placed at the facility. Therefore, the allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove the allegation. Appeals rights were provided and discussed with the facility representative mention above. There were no deficiencies cited.

SUPERVISORS NAME: Jean Herring
LICENSING EVALUATOR NAME: Larry Cabral
LICENSING EVALUATOR SIGNATURE:

DATE: 01/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2