<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197604989
Report Date: 05/18/2024
Date Signed: 05/18/2024 10:07:36 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/21/2023 and conducted by Evaluator Alfonso Iniguez
COMPLAINT CONTROL NUMBER: 31-AS-20230921120914
FACILITY NAME:DURANDO HOME IIFACILITY NUMBER:
197604989
ADMINISTRATOR:JAMES DURANDOFACILITY TYPE:
740
ADDRESS:38757 37TH STREET EASTTELEPHONE:
(661) 266-0551
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY:4CENSUS: 3DATE:
05/18/2024
UNANNOUNCEDTIME BEGAN:
09:24 AM
MET WITH:Nacy Magallanes/House ManagerTIME COMPLETED:
10:07 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not assist resident with incontinence needs
Staff do not provide adequate supervision to residents
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5/18/2024 LPA Alfonso Iniguez conducted an unannounced subsequent complaint visit. LPA Iniguez met with James Durando/Licensee. LPA explained the purpose of this visit.

Investigation Consisted of: LPA conducted the following interviews: Resident interviews (R#2-R#3). LPA obtained the following documents: Resident’s roster, Personnel roster, (R#1-R#3) Identification and Emergency Information, (R#1-R#3) Admissions agreements, (R#1-R#3) Physicians Report for Residential Care Facilities for the Elderly, (R#1-R#3) Needs and Services Plan, (R#1-R#3) Medication Administration Record (MAR) for the month of May 2024.

Evaluation Report continues LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2024
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 4
Control Number 31-AS-20230921120914
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
FACILITY NAME: DURANDO HOME II
FACILITY NUMBER: 197604989
VISIT DATE: 05/18/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Investigation Revealed the Following:

Allegation: Staff do not assist resident with incontinence needs.

The details of the complaint alleged that facility staff do not assist residents with their continence needs.



During the records review, LPA observed (R#1)'s Physician's Report for the Residential Care Facilities for the Elderly (RCFE) or LIC 602A, which was dated and signed by a physician on 2/22/2024. LPA noticed that (R#1) is not confused or disoriented but is able to follow instructions and communicate their needs. Additionally, (R#1)'s LIC 602A states that they can care for their own toileting needs with some assistance from facility staff, and that (R#1) is able to transfer to and from a bed independently.

During an interview with the licensee (L#1), he stated that the facility staff assist residents with their daily continence needs. (L#1) noted that there is one caregiver during the morning shift from 6 am to 2 pm, one from 2 pm to 10 pm, and one from 10 pm to 6 am. Additionally, (L#1) mentioned that no resident in care has been left in a soiled diaper for an extended period.

During an interview with resident 1 (R#1), they stated/sign that facility staff assist them in going to the restroom and changing their adult diapers when needed. In addition, (R#1) stated/sign that they can go to the bathroom by themselves. (R#1) only uses night depends, but they can get up in the night to use the restroom and have not been left in a soiled diaper for a long time.

During Interviews with Residents (R#2-R#3), LPA could not communicate with them due to cognitive impairment.

During interviews with facility staff (S#1-S#3), (3) out of (3) care staff stated that they assist residents with their toileting needs. They also mentioned that there are always three caregivers available every day at the facility: one in the morning, one in the afternoon, and one at night. Additionally, (3) out of (3) staff stated that no resident has ever been left in a soiled diaper for an extended period.

LPA attempted to interview the Quality Assurance Specialist for the North Los Angeles Regional Center, but they were unable to reach them by phone.



Evaluation Report continues LIC 9099-C
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 31-AS-20230921120914
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
FACILITY NAME: DURANDO HOME II
FACILITY NUMBER: 197604989
VISIT DATE: 05/18/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Allegation: Staff do not provide adequate supervision to residents.

The details of the complaint alleged that facility staff do not provide adequate supervision to residents in care.



LPA Iniguez conducted a records review and inspected the facility’s staff schedule. The schedule indicates that there is one care staff scheduled from 6:00 AM to 2:00 PM, the next care staff is scheduled from 2:00 PM to 10:00 PM, and the last staff is scheduled from 10:00 PM to 6:00 AM.

During a physical tour of the facility, LPA Iniguez observed that the facility was clean, sanitary, and in good repair. In addition, LPA observed that knives and cleaning supplies were locked and secured, not accessible to (R#1). Also, LPA observed that (R#1)’s medications were centrally stored and locked. Furthermore, LPA observed plenty of perishable and non-perishable food at the facility. Moreover, LPA inspected (R#1)’s room, bed, and bedding, which were in good condition and appropriately furnished during the visit.

During an interview with the licensee (L#1), he stated that facility staff provided adequate supervision to the resident in care, and no resident in care has ever been left alone for an extended period.

During interviews with resident (R#1), they confirmed that facility staff are taking good care of them. (R#1) pointed out the care staff attending to them and stated that they have never been left alone for an extended period.

During Interviews with Residents (R#2-R#3), LPA could not communicate with them due to cognitive impairment.

During interviews with staff (S#1-S#3), (3) out of (3) stated that they are providing adequate supervision to the residents in care and have never left them alone for an extended period.

LPA attempted to interview the Quality Assurance Specialist for the North Los Angeles Regional Center, but they were unable to reach them by phone.



Evaluation Report continues LIC 9099-C
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 31-AS-20230921120914
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
FACILITY NAME: DURANDO HOME II
FACILITY NUMBER: 197604989
VISIT DATE: 05/18/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
During this investigation, LPA found did not find sufficient evident to support the above-mentioned allegations.

Based on the evidence gathered, interviews conducted, and records reviewed, the preponderance of evidence standard has been met; therefore, the above-mentioned allegation(s) are found to be UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated.



An exit interview was conducted, and a copy of the Complaint Report was given to Nancy Magallanes/House Magallanes.
SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Alfonso Iniguez
LICENSING EVALUATOR SIGNATURE:

DATE: 05/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4