Ccib Intake Sample

CCIB Intake received a SOC 341 from reporting party (RP) Melanie Willis regarding and incident with residents Greg Ekdahl and Paige Katler. According to the RP on 1/26/17 at 9AM while being transported via van to Greg's day program (Escuela Del Rio Day Program) a peer sitting behind him was screaming and singing curse words while listen to music on the radio. The RP asked the peer to stop and Greg asked the peer to stop, in addition Greg turned off the radio. The peer (Paige) struck Greg twice on his left shoulder with an open hand in reaction to his turning off the radio stating " he turned off the radio, he deserved that." Greg was examined for injuries; none were found. He was later left at his day

CCIB LPA C Perryman-French received a call from Raylette (Letty). Her son Jason Laidley Jr. (DOB 03/10/89) lives at this location. Raylette did not know this was an ARF and when the facility was called (three way call with LPA), the facility staff could not or would not provide the facility license #. Lanterman Regional Center Staff provided LPA with the actual name and facility number. Jason wears a cochlear implant, his room mate recently broke it, now Jason has to write down any communication he has with anyone. Knowing this, staff sent him to the store on Sunday afternoon (07/26/15) to buy toilet paper and light bulbs for the facility. (Raylette noted that Jason's IPP also states he is not to leave the facility unsupervised.) Jason apparently

CCIB Intake received a call from Patricia Parker the anonymous complainant who disclosed that this morning while smoking a cigarette staff person Stephanie (last name unknown) called her a "bitch." The reporting party disclosed the administrator Kendall discloses her personal/confidential conversations with other staff persons causing the staff persons to respond to her differently than the other residents. The reporting party believes the staff members are fabricating reports to the public defender/courts regarding her behavior in the

CCIB Intake received a call from owner/administrator Therese Kragness who disclosed that the local Law Enforcement was present at the facility. According to the caller, an employee who was having difficulty with her boyfriend received a text threatening to come to the facility. Fearing for her safety, the employee notified Law Enforcement and was escorted to the Police Station to file a restraining order against the boyfriend. Conversely the boyfriend did not appear at the facility. The Administrator will fax the hard copy of the report identifying the employee within the required time

CCIB Intake LPA McGaskey received a call from resident Todd Sabin who engaged in a conversation with caregiver Martha (last name unknown). According to Todd the caregiver contacted Todd's social worker Javier Serna (626) 471-6402) and left a message on his phone stating Todd threatened to kill her and that she is afraid of him. Todd's social worker discussed the telephone message. The social worker reported he spoke with Martha and asked why didn't contact the police department if she was afraid for her life. According to the social worker Martha had no response to the question. Todd stated Martha informed the social worker he does not sleep at night and wanders through the facility. Subsequently she informed the cook to do whatever Todd wanted

The reporting party (RP) disclosed resident Michael Haynes stated staff member Rayshawn (Medley #7516092571) wrestled with him 2 days prior (2/21/17) and punched him in the arm. Furthermore the same staff member called him names and told him he was going to "fuck his mother." CCIB LPA left a phone message for complainant Kal Lee requesting information regarding which arm and if resident sustained an injury from the encounter, along with exact verbiage

CCIB Intake received a call from Stephanie from a law office located at 3250 Wilshire Blvd., Los Angeles (323) 939-0506. Stephanie stated resident La Sheta Hayes DOB: 6/24/69 arrived at the office at approximately 3:30PM on 4/12/16. The resident informed Stephanie that she had returned from her Beverly Hills law office in attempt to retrieve her file. The resident disclosed that she was in a car accident several years ago. The resident arrived on bus #20 using a walker. She appeared confused and disorientated. Stephanie believed the resident should have an escort due requiring a walking and her confusion. Stephanie disclosed the law office could not assist the resident with her issues. The resident waited in the office over an hour before leaving.

Progress: The department referred Ms. Messerli rule 25 assessment at Tubman Chrysalis on 11/28/16. CPSW called the intake department on 11/28/16 to check the walk in schedules at Tubman. The intake worker reported to the CPSW that Ms. Messerli can do a walk in on 11/29/16 at 7am. Ms. Messerli signed a release form for the Department and stated that she will do the walk in and complete her rule 25 assessment at Tubman Chrysalis. The Department called the intake department on 12/1/16 to verify if Ms. Messerli's has completed her intake assessment at Tubman Chrysalis. The intake department reported to CPSW that Ms. Messerli did not complete rule 25 assessment and has not scheduled any future appointments with Tubman Chrysalis. The Department called

CCIB received a phone call from RP on a complaint #18-AR-20170427154250 that was completed on 4/27/2017 by another CCIB LPA. RP called to report the same altercation between resident Terrance Scott and owner Ernest Fisher. RP also reported the incident happened in Terrance room upstairs of the home. RP stated that after the altercation Terrance tried to contact local Police, but Ernest took the phone from him preventing him to continue the phone call. RP stated when she talked to Terrance he did not remember much about the incident or about himself when the she asked him questions. RP gave an example that he did not remember his age or year he was born. RP mentioned when talking to Ernest, he did not know many of the residents names in the

CCIB received a complaint via phone call from RP stating that the facility has had multiple bed bugs outbreaks in the last four years. RP reported that she has saw bed bugs in room #225 which is occupied by resident Cecil Walters. RP stated that she thinks the facility did not treat Cecil’s room when the facility had there last outbreak. RP also have seen bed bugs in the laundry room, due to staff putting bed bug infested laundry bags in the room for days at a time. RP stated on 3/17/2017 she told the Administrator Anita and Lizel (Med tech) about the bed bugs, RP stated their response was “they did not know and that we will take care of it”. RP is concerned about the residents and that the facility will get another outbreak.

CCIB received a complaint via phone call from Anonymous female (employee) regarding the facility. RP stated that the facility has been hiding children to stay in ratio. RP stated that the facility hides about 20 to 25 children (ages 2 to 3) when CCL comes to visits. RP reported that the administrator hides the extra kids at the Otimal Christian Academy (another school on the grounds). RP also stated that class rooms 1, 2 and 3 have fraudulent role sheets with kids missing on the sheets. RP stated that the classrooms 1, 2 and 3 have a head count at 10 am on the children in the class so they can find out who keep in the classroom if CCL comes for a visit. RP mentioned that there are roaches and rats in the pantry for about 3 years now. RP stated

CCIB Intake received a call from Theresa Hoffman (323) 508-6170 who stated resident Bobbie Herndon DOB: 12/6/34 was missing from the facility. According to the caller she last visited with the resident on 8/3/16 and communicates with the resident at least once a month. On 10/31/16 the caller arrived at the facility to visit with the resident. The RP stated her visit was due to concern for the resident and his lack of communication with her. The caller stated she was informed by the facility as of 8/15/16 the resident no longer resided in the facility and that he was transported to a local hospital. Consequently the caller contacted the hospital and was informed the resident had not been admitted over the last two years. The caller stated she

The reporting party (RP) stated on 11/16/16 at approximately 9:30AM a visit was made to the facility to visit resident Noel Cua DOB: 3/5/52. According to the RP Mr. Cua is the brother of owner/administrator Arcely Pua. During the visit Mr. Cua was observed wearing oven mitts on his hands and tied to the side rails of his bed. The RP stated the administrator disclosed the resident would pull out his feeding tube. Subsequently the resident has a feeding tube and a Foley catheter. The RP stated the administrator indicated she was a Registered Nurse. The RP was informed the facility is non-medical therefore feeding tubes are prohibited. The RP stated the resident requires a higher level of care and should be placed in a skilled nursing

CCIB Intake received a call from Avani Bhatt who stated her son (name not provided) has attended the after-school program for 2 years. She complained the facility refused to refund her deposit after providing the facility with a months’ notice. CCIB was unable to locate the facility located at 46517 Mission Blvd., Fremont CA. 94539 in the system. According to the reporting party (RP) the facility refused to accept checks or credit cards, all payments were in cash. Subsequently there are other facilities located through the Bay Area. The RP provided the website (www.wenurturejids.com/fremont-warm-springs/). The web page depicts a school-age program with several school-age children. The RP was informed due to the facility not being licensed there

CCIB received a complaint via phone call from Patricia Abbott (Resident) regarding the facility Alma Lodge. RP reported that cook Eddie does not wear gloves when preparing food for the residents. RP also mentioned that she has seen Eddie touch resident’s heads then do not wash his hands. RP reported that the facility has a posted menu for the week but RP reported that she has not had anything on the posted menus since she has been at the facility. RP example was that on Monday’s breakfast on the menu states Egg, Sausage and fresh fruit, she was served eggs a hotdog and did not have fruit. RP also mentioned that the syrup and juices are watered down purposely. RP also stated that when it rains the stairs in the facility are very slippery. RP