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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603785
Report Date: 10/26/2023
Date Signed: 10/26/2023 04:32:42 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, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/16/2021 and conducted by Evaluator Lizzette Tellez
COMPLAINT CONTROL NUMBER: 08-AS-20210316164646
FACILITY NAME:PARADISE CARE HOMESFACILITY NUMBER:
374603785
ADMINISTRATOR:EPPS, RHONDAFACILITY TYPE:
735
ADDRESS:2043 ALBERQUE CTTELEPHONE:
(619) 470-0504
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:4CENSUS: 4DATE:
10/26/2023
UNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Direct Support Professional, Nia LumpkinTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Licensee failed to protect client from harm
INVESTIGATION FINDINGS:
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Licensing Program Manager (LPM) Lizzette Tellez conducted an unannounced complaint visit to deliver findings on the above-mentioned allegation. LPM was met by Direct Support Professional, Nia Lumpkin and was granted entry into the facility. LPM met with Ms. Lumpkin to discuss the purpose of the visit. House Manager, Sonya Smith, was advised of the purpose of the visit via phone.

The Department’s investigation consisted of interviews with staff, clients, outside sources, record review, and a tour of the facility. It was alleged that the licensee failed to protect a client from harm. Investigation revealed that on March 10, 2021, Client #1 (C1) exposed themself to Client #2 (C2). Interviews with staff, outside sources, and C2 revealed that on March 10, 2021, C1 and C2 were in the facility living room watching television with staff. Staff asked C1 to pick up an item after littering. C1 became upset and responded by exposing themself to C2 and other staff in the room. Interviews with C2 and staff revealed that C1 was redirected to their bedroom. Staff contacted law enforcement officials, who responded later that day and took custody of C1. Interviews with staff and outside sources revealed C1 was a Registered Sex Offender, but that exposing themself was not a typical response or behavior of C1 when upset.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Icela Estrada
LICENSING EVALUATOR NAME: Lizzette Tellez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2023
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 08-AS-20210316164646
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: PARADISE CARE HOMES
FACILITY NUMBER: 374603785
VISIT DATE: 10/26/2023
NARRATIVE
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C2 did not report that C1 had engaged in this behavior with them previously and reported feeling safe at the facility. C1 did not return to the facility. The Department has investigated the allegation that the licensee failed to protect C2 from harm and has found that based upon interviews, there is insufficient evidence to corroborate the allegation. Therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted with Ms. Lumpkin. A copy of this report, along with Licensee Rights, were provided to them at the conclusion of the visit.
SUPERVISORS NAME: Icela Estrada
LICENSING EVALUATOR NAME: Lizzette Tellez
LICENSING EVALUATOR SIGNATURE:

DATE: 10/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/26/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2