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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 03:06:14 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
10/23/2023 and conducted by Evaluator Gregory Clark
COMPLAINT CONTROL NUMBER: 15-AS-20231023114420
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:
12:15 PM
MET WITH:Vy Le, Program DirectorTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff are not changing clients timely
Staff uses inapropriate disipline
Staff speaks inapropriatly to clients in care
Staff pushed client
Clients are left unattended in the van
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 the Reporting Party, 7 staff and 6 program participants. The RP could not provide any specifics as to where and when the alleged actions took place simply stating "it's a bad program."

Regarding the allegation staff are not changing clients timely: all incontinent program participants are changed twice to three times a day or as needed. All also have Individual Service Plan goals related to incontinent care.

***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-20231023114420
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***

Regarding the allegations that staff uses inappropriate discipline, staff speaks inappropriately to clients in care and staff pushed client:

Program staff reported that they have never observed any staff using inappropriate discipline, speaking inappropriately to clients, or pushing clients. Program participants reported that they were never mistreated by the staff and that they like coming to the program.

Clients are left unattended in the van: program staff reported that they double check the vans with each drop off.

This agency has investigated the allegation that staff are not changing clients timely, staff uses inappropriate discipline, staff speaks inappropriately to clients in care, staff pushed client and clients are left unattended in the van. 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