019200842-2-17-2023-15-AS-HHUL-CS4V48-20230523160556

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200842
Report Date: 02/17/2023
Date Signed: 02/17/2023 02:58:51 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
03/21/2022 and conducted by Evaluator Grace Luk

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20220321100644

FACILITY NAME:	G.L.O.M. ARF 2		FACILITY NUMBER:	019200842
ADMINISTRATOR:	TURNER, ALLEN		FACILITY TYPE:	735
ADDRESS:	1885 WALNUT STREET		TELEPHONE:	(925) 583-5555
CITY:	LIVERMORE	STATE: CA	ZIP CODE:	94551
CAPACITY:	6	CENSUS: 5	DATE:	02/17/2023
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Jessica Turner, Program Director		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Excluded individual is present at the facility

Facility is in financial distress

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 2/17/2023 at 2:30PM, Licensing Program Analyst (LPA) G. Luk arrived unannounced to deliver findings in regards to the allegations above. LPA met with Program Director, Jessica Turner.

During the course of investigation, LPA interviewed 5 clients and 4 staff. LPA reviewed audit report. Interview with clients and staff revealed that the excluded indivdual (S5) has not been at the facility. LPA have not seen S5 at the facility during past visits in 2022. Interview with staff and clients revealed there's no issues with the utilities being on and staff are paid timely.

Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegations are UNSUBSTANTIATED. 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: 02/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/17/2023

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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