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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200198
Report Date: 01/18/2024
Date Signed: 01/18/2024 03:04:55 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
10/24/2023 and conducted by Evaluator Gregory Clark
COMPLAINT CONTROL NUMBER: 15-AS-20231024172030
FACILITY NAME:MISSION-HOPE DAY PROGRAM BRENTWOODFACILITY NUMBER:
079200198
ADMINISTRATOR:JIAN GAMEZFACILITY TYPE:
775
ADDRESS:350 PEACHTREE COURTTELEPHONE:
(925) 516-2222
CITY:BRENTWOODSTATE: CAZIP CODE:
94513
CAPACITY:30CENSUS: 30DATE:
01/18/2024
UNANNOUNCEDTIME BEGAN:
11:52 AM
MET WITH:Vy Le, Program DirectorTIME COMPLETED:
12:50 PM
ALLEGATION(S):
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Staff did not prevent a client from eating a foreign object.
Staff teased a client in care.
INVESTIGATION FINDINGS:
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On 1/18/24 at 12:15 p.m. Licensing Program Analyst (LPA) Greg Clark conducted an unannounced visit to deliver findings for the above allegations. LPA met with Vy Le, Program Director and explained the purpose of the visit.

During the course of investigation, LPA interviewed 7 staff and 6 program participants. LPA emailed the Reporting Party (RP) at the email address provided but never received a return email. Therefore, LPA was unable to get any specifics as to where and when the alleged actions took place.

Interviews with program staff and program participants revealed no information to prove that the alleged incident occurred. There is currently no program participants who exhibit PICA (eating inedible objects such as cigarette butts) behavior. Staff reported that they never tease the program participants. Program participants reported that the staff never tease them and are “kindhearted.”

***report continues on LIC9099C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 15-AS-20231024172030
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: MISSION-HOPE DAY PROGRAM BRENTWOOD
FACILITY NUMBER: 079200198
VISIT DATE: 01/18/2024
NARRATIVE
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***report continues from LIC9099***

This agency has investigated the allegation that staff did not prevent a client from eating a foreign object and
staff teased a client in care. We have found that the complaint was unsubstantiated. 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.

Exit interview conducted, a copy of this report provided.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2