011405838-2-27-2025-15-AS-KHOS-DEPPQR-20250312113134

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 011405838
Report Date: 02/27/2025
Date Signed: 02/27/2025 05:34:13 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/23/2024 and conducted by Evaluator Grace Luk

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20240823143906

FACILITY NAME:	ABLELIGHT, INC - MOWRY		FACILITY NUMBER:	011405838
ADMINISTRATOR:	CHRISTINA O QUINTANAR-SANC		FACILITY TYPE:	735
ADDRESS:	1335 MOWRY AVE		TELEPHONE:	(510) 505-1245
CITY:	FREMONT	STATE: CA	ZIP CODE:	94536
CAPACITY:	12	CENSUS: 11	DATE:	02/27/2025
		UNANNOUNCED	TIME BEGAN:	03:50 PM
MET WITH:	Tsion Haile (Mogesse), Administrator		TIME COMPLETED:	05:45 PM

ALLEGATION(S):

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Staff had inappropriate interaction with resident.

INVESTIGATION FINDINGS:

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On 2/27/2025 at 3:50PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to conduct a complaint investigation and deliver findings regarding the allegation above. LPA met with Administrator, Tsion Haile (Mogesse) and informed her the reason for the visit.

During the course of investigation, LPA interviewed 2 clients, 3 staff, and complainant. LPA reviewed and obtained documents including SIRs, emergency information, IPP, ISP, Physician's report, and internal investigation reports. Interview with S1 indicated that S3 reported an incident where S4 had inappropriate interactions with a client. Interview with C1 revealed that nothing happened between her and S4. C1 stated she feels safe at the facility and no staff made her feel uncomfortable.

Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is UNSUBSTANTIATED. No deficiencies are being cited on this date. Exit interview conducted. A copy of this report provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Grace Luk
LICENSING EVALUATOR SIGNATURE:	DATE: 02/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/27/2025

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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