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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002815
Report Date: 05/10/2022
Date Signed: 05/10/2022 10:15:22 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/11/2022 and conducted by Evaluator DeAnna Williams-Lyons
PUBLIC
COMPLAINT CONTROL NUMBER: 25-AS-20220111092821
FACILITY NAME:DANI'S HELPING HANDS, INC.FACILITY NUMBER:
345002815
ADMINISTRATOR:HAZZIEZ, DANIELLEFACILITY TYPE:
740
ADDRESS:108 REMINGTON DR.TELEPHONE:
(916) 201-4862
CITY:FOLSOMSTATE: CAZIP CODE:
95630
CAPACITY:6CENSUS: 4DATE:
05/10/2022
UNANNOUNCEDTIME BEGAN:
09:46 AM
MET WITH:Danielle Hazziez, AdministratorTIME COMPLETED:
10:32 AM
ALLEGATION(S):
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Unlawful Eviction
Finanical
INVESTIGATION FINDINGS:
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On May 10, 2022, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to deliver findings for complaint # 25-AS-20220111092821. LPA met with Danielle Hazziez, Administrator and informed her the reason for the visit.
Prior to the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; contacted licensee and completed a facility risk assessment. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 Masks.
The Department received a complaint on 1/7/2022, alleging the facility issued an Unlawful Eviction and Financial Misconduct.
During the investigation, LPA conducted interviews and reviewed documentation including resident's (R1) physician's report, medication orders and changes, reappraisal, incident report and admission Agreement.

To continue see 9099-C...
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: DeAnna Williams-Lyons
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2022
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 25-AS-20220111092821
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME: DANI'S HELPING HANDS, INC.
FACILITY NUMBER: 345002815
VISIT DATE: 05/10/2022
NARRATIVE
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Resident was admitted to the facility from an out of state facility. R1 came to the facility with a bag full of medications with no prescription orders. LPA counted 29 different pill bottles. Information was provided to the facility that R1 seeks narcotic medications. Facility staff information R1 that the facility is unable to administer medications without a physician’s order. R1 was taken to the hospital to obtain a physician’s medication order for the medications R1 brought to the facility at the time of admittance. R1 returned back to the facility with only orders for over the counter pain medication. R1 continued to ask for “blue pills”. The facility reiterated to R1 that they are unable to administer medications without physician’s orders. On , December 23, 2021 , R1’s responsible party removed R1 from the facility. Facility staff indicated there was no written eviction letter given to R1 and R1 did not provide a written 30-day notice to move out of the facility.

On the allegation of financial misconduct alleging the facility cashed December 2021 and January 2022 rent checks, LPA reviewed documentation and confirmed only the December 2021 rent check was cashed which covered the resident’s stay for December 2021.

Based on LPA's review of documentation and interviews, the allegations that facility issued an unlawful eviction and financial misconduct is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

Per California Code of Regulations, Title 22, no citations were issued.
An exit interview was conducted, and a copy of this report was given to Danielle Hazziez.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: DeAnna Williams-Lyons
LICENSING EVALUATOR SIGNATURE:

DATE: 05/10/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2022
LIC9099 (FAS) - (06/04)
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