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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609325
Report Date: 08/06/2024
Date Signed: 08/06/2024 12:05:00 PM

Substantiated


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
08/01/2024 and conducted by Evaluator Michael Cava
COMPLAINT CONTROL NUMBER: 31-AS-20240801144703
FACILITY NAME:INDEPENDENT ENTERPRISE HEALTH CARE INCFACILITY NUMBER:
197609325
ADMINISTRATOR:JIM DURANDOFACILITY TYPE:
740
ADDRESS:36722 ROSE STTELEPHONE:
(661) 917-4380
CITY:PALMDALESTATE: CAZIP CODE:
93552
CAPACITY:4CENSUS: 3DATE:
08/06/2024
UNANNOUNCEDTIME BEGAN:
09:29 AM
MET WITH:Wendy Rivera, Jim DurandoTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Facility temperature was not maintained at a comfortable level
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Cava conducted a complaint visit to the facility to investigate the above allegation. LPA met with staff, Wendy Rivera and the administrator, Jim Durando, and advised them of the complaint. Today’s investigation consisted of interviews with staff and residents. A physical plant inspection was also made to insure the health and safety of the residents.

In regards to the allegation, it was reported by an another agency, that works in conjunction with the Department, and is also a credible source, that on or around 07/31/24, the inside of the facility was warm. The temperature inside the home was at approximately 89 degrees. Exterior temperature, or the weather, outside of the facility, on or around 07/31/24 was at least 100 degrees. Air conditioning was not broken, but staff did not know the combination to the lockbox covering the thermostat to adjust the temperature. At the end of this agency’s visit, temperature was still warm, and measured at approximately 87 degrees. Photos of the thermostat and temperature provided to Community Care Licensing (CCL).
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
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 3
Control Number 31-AS-20240801144703
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: INDEPENDENT ENTERPRISE HEALTH CARE INC
FACILITY NUMBER: 197609325
VISIT DATE: 08/06/2024
NARRATIVE
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Based on the information received, the allegation is Substantiated. Citation issued on the 9099D. Administrator advised and a copy of this report given.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20240801144703
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: INDEPENDENT ENTERPRISE HEALTH CARE INC
FACILITY NUMBER: 197609325
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/06/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/06/2024
Section Cited
CCR
87303(b)(2)
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Maintenance and Operation:
The facility shall cool rooms to a comfortable range, between 78 degrees F and 85 degrees, or in areas of extreme heat to 30 degrees F less than the outside temperature. This requirement was not met as evidenced by information recieved by a credible agency
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Moving forward, the administrator will insure that the facility will maintain a comfortable temperature for the residents at all times. As POC, administrator and staff will review this section of the regulation, and self-certify that they’ve read and understood regulation. Copy of this self-certification is due to
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submitted to CCL confirming that facility temperature was approximately 89 degrees indoor, while exterior temperature was at least 100 degrees. This posed an immediate health and safety risk to the residents in care.
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CCL by 08/13/24
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Eva Miller
LICENSING EVALUATOR NAME: Michael Cava
LICENSING EVALUATOR SIGNATURE:

DATE: 08/06/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2024
LIC9099 (FAS) - (06/04)
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