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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603242
Report Date: 01/18/2024
Date Signed: 01/18/2024 05:05:10 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
01/10/2024 and conducted by Evaluator Bennette Pena
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240110155059
FACILITY NAME:EUROPEAN CHRISTIAN HOMEFACILITY NUMBER:
198603242
ADMINISTRATOR:TRICE, THOMASFACILITY TYPE:
740
ADDRESS:9249 DALBERG STREETTELEPHONE:
(562) 397-2591
CITY:BELLFLOWERSTATE: CAZIP CODE:
90706
CAPACITY:6CENSUS: 6DATE:
01/18/2024
UNANNOUNCEDTIME BEGAN:
12:27 PM
MET WITH:Thomas Trice - AdministratorTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Staff are billing resident for TV services not provided.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bennette Pena conducted an unannounced 10-day complaint visit to investigate the allegation listed above. LPA met with Caregivers, Marites Padolina and Percy Veranda Ramos and explained the purpose of the visit. Administrator Thomas Trice arrived at 1:30pm and assisted LPA with the investigation.

The investigation consisted of the following: LPA toured the facility and obtained copies of the Staff & Resident Rosters, Cable Invoice (Sep. 2023-Dec. 2023) and R1's Itemized Invoice (Nov.1, 2023). LPA obtained and reviewed Resident #1 (R1) files such as; Identification and Emergency Information (FACE Sheet), Admission Agreement (01/15/2022), Physician's Report (04/01/2023), Resident Appraisal (01/15/2022), and Needs and Services Plan (09/24/2023). LPA conducted interviews with Staff #1 (S1) - Staff #3 (S3) and Resident #1 (R1) - Resident #5 (R5). *****CONTINUED ON LIC9099-C*****
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Bennette Pena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
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 2
Control Number 28-AS-20240110155059
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: EUROPEAN CHRISTIAN HOME
FACILITY NUMBER: 198603242
VISIT DATE: 01/18/2024
NARRATIVE
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The investigation revealed the following.

In regards to the allegation: “Staff are billing resident for TV services not provided.” It is alleged that staff invoiced resident for TV services not provided. It is also alleged that the staff are limiting the cable channels. Interviewed staff denied the allegation. S1 stated that there are 125 TV/cable channels available for all the residents to watch. S1 stated that R1 accessed and watched pay-per view channels at least 3x since Sep. 2023. When S1 received the cable bill for September 2023, S1 told R1 that only basic cable TV was included in their agreed services. S1 stated that R1 continued to watch pay per view shows 2 more times (Oct 2023-Dec 2023) and S1 reminded R1 again. S1 stated that R1 was only talked to but never invoiced for the extra cable charges incurred. Interview conducted with W1 revealed that she told R1 that Netflix and Amazon Prime are also available to her, but R1 refused to watch those shows. LPA reviewed the itemized invoice dated 11/01/2023 listing the services provided such as care and supervision, food services, assistance with ADL, medication management, assistance with mobility tasks and and cable TV (no extra charge billed). However, according to S1 the cable TV included on the invoice was for basic cable TV only and not pay-per-view shows. S1 stated that was also explained to R1. S1 also stated that S1, W1 and R1 met recently to discuss the TV services and R1 has agreed to pay extra for any future shows that R1 watch on pay per view channels. (4) of (5) residents interviewed stated that they are satisfied with the TV channels provided by the facility and have no concerns. During the tour, LPA observed that R1 has access to numerous cable channels on her TV, including other streaming services. LPA reviewed R1's documents and showed that R1 was admitted to the facility on 01/15/2022. Records revealed that the staff provided R1 the services paid for based on R1's level of care listed on the Admission Agreement which R1 signed. It also revealed on the reviewed documents that the optional service to be provided was incontinence care, but did not include R1's access to pay per view channels.

Based on statements and interviews conducted with residents and staff as well as reviewed files and documentation, there was not enough supportive evidence to corroborate the allegation.



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.

Exit interview, and a copy of this report and Appeals Rights was provided to Thomas Trice, Administrator.
NAME OF LICENSING PROGRAM MANAGER: David Sicairos
NAME OF LICENSING PROGRAM ANALYST: Bennette Pena
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
LIC9099 (FAS) - (06/04)
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