019200667-2-12-2025-15-AS-YFLS-DE8RD4-20250225115519

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200667
Report Date: 02/12/2025
Date Signed: 02/12/2025 02:39:17 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
02/06/2025 and conducted by Evaluator Gregory Clark

COMPLAINT CONTROL NUMBER: 15-AS-20250206143748

FACILITY NAME:	THRIVE ADULT RESIDENTIAL CARE		FACILITY NUMBER:	019200667
ADMINISTRATOR:	INGRAM, TERRI		FACILITY TYPE:	735
ADDRESS:	601 ELYSIAN FIELDS DRIVE		TELEPHONE:	(510) 878-1921
CITY:	OAKLAND	STATE: CA	ZIP CODE:	94605
CAPACITY:	6	CENSUS: 6	DATE:	02/12/2025
		UNANNOUNCED	TIME BEGAN:	12:05 PM
MET WITH:	Ronald Garica, Administrator		TIME COMPLETED:	03:05 PM

ALLEGATION(S):

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Staff hits resident causing injury.
Staff tasses resident.
Staff is verbally abusive to resident.
Staff did not provide resident additional servings of food.

INVESTIGATION FINDINGS:

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On 2/12/25 at 12:05 p.m., Licensing Program Analysts (LPAs) Greg Clark and Ardalan Gharachorloo arrived unannounced to conduct an initial 10-day complaint investigation and deliver findings in regard to the allegations above. LPA met with Ronald Garica, Administrator and explained the purpose of the visit.

During the course of the investigation, LPAs interviewed 5 staff and 3 residents. LPAs also reviewed staff roster and resident roster. S1 informed LPAs that 3 residents residing at the facility are verbal and 3 are non verbal. LPAs also observed staff and clients interactions as the residents returned from day program. Staff were observed to be friendly and respectful to the clients.

Allegation:Staff hits resident causing injury

***CONTINUE ON 9099C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025

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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Control Number 15-AS-20250206143748

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: THRIVE ADULT RESIDENTIAL CARE	FACILITY NUMBER: 019200667
	VISIT DATE: 02/12/2025

NARRATIVE

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***REPORT CONTINUES FROM 9099***
Allegation:Staff hits resident causing injury

Staff and residents both stated that they have never witnessed staff hitting a resident. Majority of the staff at the facility have worked there for over 5 years and all of them stated that during that time they have never seen any staff hit the residents. Residents all stated that the staff treat them with respect, and they have never been hit by the staff or witnessed any other residents being hit by staff.

Allegation: Staff tasses resident:

Staff and residents both stated that they have never witnessed staff tassing a resident. The residents stated that they have never seen taser guns at the facility. S1 denies that he owns a taser gun.

Allegation: Staff is verbally abusive to resident:

Staff and residents both stated that they have never witnessed staff yelling at a resident. The residents all stated that they enjoy living at the facility and that the staff are very kind and caring. Staff were all aware of the residents residents rights and need to treat them with dignity and respect. R3 also stated that the staff are "wonderful" and treat him "really well."

Allegation: Staff did not provide resident additional servings of food:

Staff and residents both stated that snacks are available during the day and at meal time if they request a second helping, staff would provide it. Residents all stated that they enjoy the food facility provides them and they never get hungry from the lack of food/snacks. R1 and R3 both mentioned that the food is "all good".

This agency has investigated the complaint regarding above allegations. We have found that the complaint was unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted, a copy of this report provided.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:	DATE: 02/12/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2025

LIC9099 (FAS) - (06/04)

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