198205039-10-3-2022-11-AS-JHAD-CK7VMN-20221014163349

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198205039
Report Date: 10/03/2022
Date Signed: 10/03/2022 03:30:04 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/28/2022 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20220928175331

FACILITY NAME:	ANGEL'S HAVEN II		FACILITY NUMBER:	198205039
ADMINISTRATOR:	OSCAR LECHUGA		FACILITY TYPE:	740
ADDRESS:	28022 ACANA ROAD		TELEPHONE:	(310) 544-4594
CITY:	RANCHO PALOS VERDES	STATE: CA	ZIP CODE:	90275
CAPACITY:	6	CENSUS: 3	DATE:	10/03/2022
		UNANNOUNCED	TIME BEGAN:	11:40 AM
MET WITH:	Vincenta Mendoza & Oscar Lechuga		TIME COMPLETED:	03:32 PM

ALLEGATION(S):

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Licensee did not maintain a comfortable temperature for residents at all times

INVESTIGATION FINDINGS:

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On 10/03/22 Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced complaint visit at this facility. Upon arrival, LPA was greeted by licensee Vincenta Mendoza and conducted a risk assessment. Mendoza confirmed the facility has no COVID activity. LPA Dabuet met with licensee Mendoza and administrator Oscar Lechuga and explained the purpose of today's visit.

The investigation included the following: A review of the Client roster, Staff roster, and other pertinent documents associated with the allegation. Interviews were conducted with residents #1- #3 (R1-R3), staff #1 - #3 (S1-S3), and witness #1 (W1). A health and safety inspection was conducted including a review of the facility's physical plant.

Evaluation Report continues on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2022

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 11-AS-20220928175331

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: ANGEL'S HAVEN II	FACILITY NUMBER: 198205039
	VISIT DATE: 10/03/2022

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation: Licensee did not maintain a comfortable temperature for residents at all times.
The details of the complaint stated the facility failed to maintain a comfortable temperature for residents. The complainant requested for Community Care Licensing to inspect this facility because it was observed the facility only had small table fans in each resident’s room, and that the facilty theromostat did not present a comfortable reading on a warm day.

The Department conducted a health and safety inspection on 10/03/22 at 12:40 pm and found the temperature in the facility to be within Title 22 regulations. The facility thermostat read 79.0 degrees F. Portable free-standing fans were available in all the resident’s rooms. The room temperature in bedroom #1 is 79.0 degrees; bedroom #2 is 79.0 degrees; bedroom #3 is 79.0 degrees. The kitchen, dining, and living rooms had temperatures of 78.0 - 79.0 degrees. Interviews with staff #1-#3 verified (S1-S3) that the home is not equipped with air conditioning and only equipped with heating. (S1-S3) reports during summer months when the temperature rises, they ensure the fans are operating and there is enough circulation throughout the facility. Furthermore, the staff monitors the residents for liquids and body temperature. In an interview with the property owner witness #1 (W-1) claims the home was purchased without built-in central air conditioning units. According to public records, this facility is a single family home built in 1962 with (3) bedrooms and (2) baths and 1,334 square feet of space. It has heating and no cooling.

In an interview with residents #1-#2 (R1-R2), the Department learned that the facility does not have air conditioning and fans are sufficient. (R1-R2) claim they never had issues with the temperature of the home during warm days and that the facility provides a safe and comfortable living environment. The Department was unable to interview (R3) as a result of her disability. Based on information gathered, an inspection of the facility, observation, analysis of public records, and interviews conducted, the Department found no evidence to support the allegation mentioned above.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

No deficiencies were cited during this visit.
An exit interview was conducted with Oscar Lechuga, and a copy of the report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 10/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2022

LIC9099 (FAS) - (06/04)

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