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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 345002815
Report Date: 05/17/2023
Date Signed: 05/17/2023 02:30:05 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/02/2023 and conducted by Evaluator Lavinia Muscan
COMPLAINT CONTROL NUMBER: 25-AS-20230202090609
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:
05/17/2023
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Administrator Danielle HazziezTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Uncleared adult caring for residents.
Staff did not provide admission agreement to POA.
Staff spoke inappropriately to a resident in care.
INVESTIGATION FINDINGS:
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On 5/17/23, Licensing Program Analysts (LPA) Lavinia Muscan arrived at the facility unannounced to deliver complaint findings into the allegations listed above and met with Administrator Danielle Hazziez.

During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation.

The results of the investigation are as follows:

**Report continued on 9099-C**
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Lavinia Muscan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
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-20230202090609
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
FACILITY NAME: DANI'S HELPING HANDS, INC.
FACILITY NUMBER: 345002815
VISIT DATE: 05/17/2023
NARRATIVE
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Uncleared adult caring for residents.
Community Care Licensing Division (CCLD) received allegation stating the facility has an uncleared adult working in facility. LPA requested for pertinent documents such as staff’s Criminal Record Exemption Transfer Request documents and facility staff roster. Licensee/Administrator was able to produce paperwork from CCLD stating all caregivers were granted clearance and are associated to the facility. This agency has investigated the complaints alleging, uncleared adult caring for residents. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

Staff did not provide admission agreement to POA.
LPA investigated allegation, “Facility did not provide admission agreement to POA”. LPA interviewed administrator, responsible party (RP), and reviewed documents. Interviews with administrator indicate an admission agreement was signed with RP upon the time of admission for the resident and was given to RP. LPA interviewed RP in which they stated they signed a document upon admission of resident but could not specifically remember the document. LPA reviewed admission agreement on file and observed RP signed admission agreement on 1/6/22 and administrator signed admission agreement on 1/6/22. RP stated that RP was not sure if the admission agreement was given to RP. RP later found the admission agreement. Due to the information gathered, LPA finds allegation to be UNFOUNDED. This agency has found the complaint was UNFOUNDED, meaning that the allegation is false, could not have happened, and/or is without a reasonable basis.

Staff spoke inappropriately to a resident in care.
LPA investigated allegation, “Staff spoke inappropriately to a resident in care”. LPA interviewed staff and 4 residents in care. LPA interviewed residents in which they stated staff do not yell at them or speak inappropriately to them and that staff treat them very well. LPA interviewed staff and administrator in which they stated they have not observed staff talking inappropriately to residents. Due to the information gathered LPA finds allegation to be UNFOUNDED. This agency has found the complaint was UNFOUNDED, meaning that the allegation is false, could not have happened, and/or is without a reasonable basis.

Exit interview was conducted with Administrator and a copy of this report was provided to the facility. The signature of the Administrator on these forms acknowledges receipt of these documents.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Lavinia Muscan
LICENSING EVALUATOR SIGNATURE:

DATE: 05/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/17/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2