015201035-10-19-2023-26-CR-CFLN-CXJSVE-20231113131236

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 015201035
Report Date: NO Visit Data Available
Date Signed: 10/19/2023 11:59:14 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE RO, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

This is an official report of an unannounced visit/investigation of a complaint received in our office on
and conducted by Evaluator Lisette Valenzuela

PUBLIC

COMPLAINT CONTROL NUMBER: 26-CR-20230804081923

FACILITY NAME:	SENECA FAMILY OF AGENCIES		FACILITY NUMBER:	015201035
ADMINISTRATOR:	VERLESHA SMITH		FACILITY TYPE:	430
ADDRESS:	8750 MOUNTAIN BLVD., BLDG. 69		TELEPHONE:	(510) 777-5300
CITY:	OAKLAND	STATE:	ZIP CODE:	94605
CAPACITY:	0	CENSUS:	DATE:
		UNANNOUNCED	TIME BEGAN:
MET WITH:	Emaline Lien		TIME COMPLETED:

ALLEGATION(S):

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Resource parent requested foster child to drive a car without proper license or permit.

INVESTIGATION FINDINGS:

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On 10/19/2023 at 10:30AM, Licensing Program Analyst (LPA) Lisette Valenzuela conducted a visit to the above agency to deliver the findings on the listed allegation. LPA met with Emaline Lien, Health Information Specialist/Program Assistant, and Juliana Marx-Andler, Clinical Supervisor assisted via telephone.

During the course the investigation, Licensing Program Analyst (LPA) Lisette Valenzuela conducted confidential interviews with reporting party member, client, FFA Staff, and resource parent. According to confidential interviews, record review, and a walkthrough of the resource home, LPA Valenzuela concluded, the allegations that, “Resource parent requested foster child to drive a car without proper license or permit”, had inconsistent support.

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, and no Title 22 deficiencies were observed.

Exit interview was conducted and a copy of this report was emailed to Emaline Lien, whose signature on this form confirms receipt of these documents. These documents will also be emailed to Verlesha Smith, Program Director, Juliana Marx-Andler, Clinical Supervisor.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carolyn Flynn
LICENSING EVALUATOR NAME: Lisette Valenzuela
LICENSING EVALUATOR SIGNATURE:	DATE:

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE:

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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