198600612-7-10-2023-28-AS-FFIS-CTUME3-20230718093202

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600612
Report Date: 07/10/2023
Date Signed: 07/10/2023 03:23:51 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, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/06/2023 and conducted by Evaluator Jose Villalobos

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20230706105043

FACILITY NAME:	GATEWAYS HOSPITAL AND MHC		FACILITY NUMBER:	198600612
ADMINISTRATOR:	COCO KORNSPAN		FACILITY TYPE:	735
ADDRESS:	3455 PERCY STREET		TELEPHONE:	(323) 268-2100
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90023
CAPACITY:	136	CENSUS: 103	DATE:	07/10/2023
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Manager Billy Gomez		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff do not provide adequate supervision to resident's in care.
Resident's have access to drugs and alcohol.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jose Villalobos conducted an unannounced complaint investigation visit for the allegations listed above. LPA met with Manager Billy Gomez and the purpose of the visit was discussed.

On todays visit , LPA toured the physical plant , interviewed staff #1-#4 (S1-S4) and Clients #1-#10 (C1-C10). LPA reviewed and collected copies of the staff and client roster, LPA also collected the Facesheet and physicians report for C1-C10. The investigation revealed the following:

In regards to the allegation "Staff do not provide adequate supervision to resident's in care." it was alleged that clients of the facility are out in the community late and staff don't address their behaviors when they're out in the community....

Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981- 3981
LICENSING EVALUATOR NAME: Jose Villalobos	TELEPHONE: (323) 980-4939
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2023

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 28-AS-20230706105043

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: GATEWAYS HOSPITAL AND MHC	FACILITY NUMBER: 198600612
	VISIT DATE: 07/10/2023

NARRATIVE

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(4) of (4) Staff interviewed denied the allegation. (10) of (10) Clients interviewed could not corroborate the allegation. Staff interviews show that clients in care are able to leave the facility unassisted; therefore, there are no assigned staff that go out to the community with clients when they go out. Interviews with staff state that its the clients personal rights to go out into the community and they cannot be forced or controlled on what they do outside of the facility. Staff interviewed were not aware of misconduct behaviors or actions the clients may be a part of outside of the facility. LPA was not provided with names of clients who are out in the community causing trouble. Clients interviewed stated there is plenty of staff in the facility and there is always someone around. LPA observed an adequate amount of staffing in the facility during the visit. Based on interviews, observations, and file review conducted there was not enough supportive evidence to concur with the reported allegation; although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

In regards to the allegation "Resident's have access to drugs and alcohol." it was alleged that staff do not prevent clients from doing drugs or drinking alcohol out in the community. (4) of (4) Staff interviewed denied the allegation. (10) of (10) Clients could not corroborate the allegation. During the visit LPA observed clients signing in and signing out when leaving or entering the facility. Interviews show that clients are aware that alcohol and drugs are discouraged and not allowed in the facility. All clients entering the facility after being out are observed by staff for any abnormal behavior while they check in. Interviews state that clients in care are able to leave the facility unassisted and that they do not need 1 on 1 supervision from staff when going out in the community. Staff interviews show that clients are not allowed to do drugs in the facility and if they are aware of any suspicious behavior or activities, they will conduct room checks. Clients are also discouraged from participating in drug use continuously but staff cannot control client actions outside of the facility. LPA did not observe client files to state the clients needed 1 on 1 supervision or had plans in place to limit their interactions outside of the facility. Based on interviews, observations, and file review conducted there was not enough supportive evidence to concur with the reported allegation; although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report was provided.

SUPERVISOR'S NAME: Fernando Fierros	TELEPHONE: (323) 981- 3981
LICENSING EVALUATOR NAME: Jose Villalobos	TELEPHONE: (323) 980-4939
LICENSING EVALUATOR SIGNATURE:	DATE: 07/10/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/10/2023

LIC9099 (FAS) - (06/04)

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