197608378-12-11-2023-28-AS-RORN-CYFS2X-20231212123016

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608378
Report Date: 12/11/2023
Date Signed: 12/11/2023 02:28:19 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
06/14/2022 and conducted by Evaluator Noemi Galarza

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20220614122804

FACILITY NAME:	FOUR DIAMONDS		FACILITY NUMBER:	197608378
ADMINISTRATOR:	HELEN TORRES		FACILITY TYPE:	740
ADDRESS:	1926 TILLIE COURT		TELEPHONE:	(626) 581-1695
CITY:	WEST COVINA	STATE: CA	ZIP CODE:	91792
CAPACITY:	6	CENSUS: 4	DATE:	12/11/2023
		UNANNOUNCED	TIME BEGAN:	01:55 PM
MET WITH:	Shanelle Hurtado,		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

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Staff are using methamphetamines on the facility premises.
Staff are intoxicated while providing care to residents in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Galarza conducted a subsequent visit to deliver findings on the investigation conducted by DSS Investigation Branch (IB) Investigator Christine Ferris. LPA explained the purpose of the visit to staff Virginia Villacorte. Staff Shanelle Hurtado was explained the purpose of the visit telephonically.

The investigation consisted of the following: On 6/15/2022, a physical plant tour of the interior and exterior was conducted. No staff or resident interviews were conducted on that date. LPA reviewed resident and staff files and obtained records of resident IIdentification and Emergency Information, Admission Agreements, Physician Reports, Personnel Records of staff (S1-S5), resident roster and, and LIC 500 Personnel Report. IB investigator interviewed residents, staff, and conducted multiple attempts to locate staff (S1) and their spouse, visitor (V1).

***Narrative summary continues next page.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Noemi Galarza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 12/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023

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-20220614122804

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: FOUR DIAMONDS	FACILITY NUMBER: 197608378
	VISIT DATE: 12/11/2023

NARRATIVE

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Staff are using methamphetamines on the facility premises. It is alleged that live-in staff (S1) and their spouse, whom visits the facility often (V1), but is not employed at the facility brought into the facility methamphetamines and marijuana and smoked the drugs in the garage. It is also alleged that neighbors complained. Based on record review, S1's spouse is listed on the Facility Personnel Report Summary as a staff. However, Licensee and other staff interviewed denied V1 was employed at the facility as a caregiver. According to interviews conducted by DSS Investigations Branch (IB) Investigator Christine Ferris, between July 2021 and November 2021 staff (S7) observed on several occasions, staff (S1) and their spouse whom frequently visited S1 at the facility, smoking marijuana and methamphetamines in the garage. Staff (S7) reported the observations to lead caregiver staff (S2), who has worked at the facility since 2016, but did not report drug use to Administrator/Licensee because they assumed the lead caregiver informed Administrator. Additionally, staff (S7) stated "I thought they were going to stop." IB interviewed a total of seven (7) staff, of which only one (1) staff confirmed the allegation. Lead caregiver (S2) stated that staff (S1’s) spouse (V1) visited the facility approximately “ten times” a month, and did see V1 smoke marijuana outside the facility due to “back issues”, but did not smoke near the facility, in the garage, or around residents. All staff denied that neighbors complained about former staff (S1). Staff (S2) acknowledged smoking cigarettes with V1 in the front yard courtyard area, but stated that the smoke did not enter the home. Administrator/Licensee denied knowledge of drug use in the premises. A total of three (3) residents were interviewed, of which all reported no knowledge or observation of drug use by former staff (S1) or their spouse. Multiple attempts to locate staff (S1) and their spouse (V1) using information by witnesses, employment information, and departmental resources were unsuccessful. There is insufficient evidence to substantiate conduct inimical against staff (S1).

Allegation: Staff are intoxicated while providing care to residents in care. It is alleged that staff (S1) and their spouse (V1) got drunk off of alcohol (vodka and brandy) in the garage. According to staff interviews, caregiver staff (S7) confronted staff (S1) and told them to stop, but S1 "did not listen." It is also alleged that lead caregiver staff (S2) was aware of the situation, but never reported it to Administrator and also did not report neighbor complaints. Staff (S2) was interviewed and denied the allegation. Only one (1) out of seven (7) staff confirmed the allegation. All residents interviewed denied seeing former staff (S1) and their spouse intoxicated while providing care to the residents. Multiple attempts to locate staff (S1) and their spouse (V1) using information by witnesses, employment information, and departmental resources were unsuccessful. There is insufficient evidence to substantiate conduct inimical against staff (S1).

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.

Exit interview conducted with staff Virginia Villacorte. A copy of the report was issued.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Noemi Galarza
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 12/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/11/2023

LIC9099 (FAS) - (06/04)

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