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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609325
Report Date: 07/14/2021
Date Signed: 08/03/2021 09:24:47 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/14/2020 and conducted by Evaluator Angelica Arambulo
COMPLAINT CONTROL NUMBER: 31-AS-20200914124413
FACILITY NAME:INDEPENDENT ENTERPRISE HEALTH CARE INCFACILITY NUMBER:
197609325
ADMINISTRATOR:HEATHER DURANDOFACILITY TYPE:
740
ADDRESS:36722 ROSE STTELEPHONE:
(661) 917-4380
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY:4CENSUS: 4DATE:
07/14/2021
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Gabe Bogle Heather DurandoTIME COMPLETED:
02:45 PM
ALLEGATION(S):
1
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9
Residents are being verbally abused
Residents are being physically abused
INVESTIGATION FINDINGS:
1
2
3
4
5
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8
9
10
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13
Licensing Program Analyst (LPA) Angelica Arambulo conducted an unannounced subsequent visit to deliver the findings on the above allegations.

It is alleged that residents/clients at the facility are being verbally abused. LPA interviewed staff and clients at the home. All staff stated that have not witnessed anyone verbally yelling at clients or intimidating them. The clients interviewed were able to speak on their behalf and claimed they have not had any staff yell at them. Based on the information received during the interviews there is no reason to confirm that clients are verbally abused. The allegation is therefore, Unsubstantiated.

It is alleged that Residents are being physically abused. LPA conducted interviews with several clients in the home. All clients stated they have not been abused nor have they witness any client being abused. The allegation is Unsubstantiated at this time.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Angelica Arambulo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/14/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021
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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