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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200239
Report Date: 03/10/2026
Date Signed: 03/10/2026 12:23:40 PM

Substantiated


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
08/08/2024 and conducted by Evaluator Carol Fowler
COMPLAINT CONTROL NUMBER: 15-AS-20240808112140
FACILITY NAME:RES SUCCESSFACILITY NUMBER:
079200239
ADMINISTRATOR:IAN BREMNERFACILITY TYPE:
775
ADDRESS:702 ALFRED NOBEL DR.TELEPHONE:
(925) 229-8228
CITY:HERCULESSTATE: CAZIP CODE:
94547
CAPACITY:30CENSUS: 20DATE:
03/10/2026
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:YABIRAM ROJAS, PROGRAM MANAGERTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Facility is not allowing client to participate in outings
INVESTIGATION FINDINGS:
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***REPORT AMENDED 3/10/2026 2ND ALLEGATION SUBSTANTIATED AND ADDITIONAL CLIENT INTERVIEWS***
On 01/22/2026 at 9:40am, Licensing Program Analyst (LPA), Carol Fowler arrived unannounced to deliver complaint findings for the allegations above.

LPA met with Yabiram Rojas and explained the reason for the visit.
During the course of the investigation, the LPA requested and received the following documents: IPP, Daily Student Notes, ID and Emergency Information, SIR's for May to August 2024, Intake Assessments, for C1, C2, and C3. Contact information for DSP's. LPA conducted an interview with S1.

CONTINUE ON LIC 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
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 7
Control Number 15-AS-20240808112140
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: RES SUCCESS
FACILITY NUMBER: 079200239
VISIT DATE: 03/10/2026
NARRATIVE
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CONTINUE FROM LIC 9099
**REPORT AMENDED 3/10/2026 2ND ALLEGATION SUBSTANTIATED AND ADDITIONAL CLIENT INTERVIEWS***

Allegation: Facility is not allowing client to participate in outings
Investigation Finding: substantiated.

During the investigation LPA interviewed W1, S1, S2 and S3. W1 expresses concerns that C1 was not able to participate in outings and felt it was unfair that C1 had to remain behind. Interview with S1 stated that when a client exhibits behavioral issues during outings staff notified management. Management arrives to assist and redirect, if the client continues to display behaviors the client may remain at the program on the next outing instead of participating in the outings. Interview with S2 stated that if a client has behaviors during an outing staff would attempt to redirect the client using strategies such as offering snacks, talking, walks and contacting management. Management may arrive to assist and in some instances the outing may need to end early. LPA reviewed C1s IPP, admissions agreement, and In-Service/Interim Needs & Services Plan which indicates C1 behaviors in class as well as on outings, the facility was aware of C1s behavior issues before C1 was approved for the day program, the admission agreement stated that the facility has a 30 day trial period to determine if the specific program meets their need, the facility will also use this time to determine if the supports provided at the location are well suited for the client. Therefore, this allegation is Substantiated

CONTINUE ON LIC9099C

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
LIC9099 (FAS) - (06/04)
Page: 7 of 7
Control Number 15-AS-20240808112140
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: RES SUCCESS
FACILITY NUMBER: 079200239
VISIT DATE: 03/10/2026
NARRATIVE
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CONTINUE FROM LIC 9099C
REPORT AMENDED 3/10/2026 2ND ALLEGATION SUBSTANTIATED AND ADDITIONAL CLIENT INTERVIEWS***

Based on LPA’s interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC9099D.

Exit interview conducted. A copy of the appeal rights and this report provided.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 7
Control Number 15-AS-20240808112140
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: RES SUCCESS
FACILITY NUMBER: 079200239
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/10/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type B
03/25/2026
Section Cited
CCR
82079(a)
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82079 Planned Activities (a)The licensee shall provide opportunities for, and encourage participation in activities, including but not limited to:
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Program Director to read regulation 82079(a) get an understanding conduct an in-service training with all staff
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Based on interviews and record review, the licensee did not comply with the section cited above by not allowing a client to participat in activities (outings) which poses a potential health and safety risks to persons in care
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 and send self certify along with a copy of in-service attendies to the department by the POC date.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 7
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
08/08/2024 and conducted by Evaluator Carol Fowler
COMPLAINT CONTROL NUMBER: 15-AS-20240808112140

FACILITY NAME:RES SUCCESSFACILITY NUMBER:
079200239
ADMINISTRATOR:IAN BREMNERFACILITY TYPE:
775
ADDRESS:702 ALFRED NOBEL DR.TELEPHONE:
(925) 229-8228
CITY:HERCULESSTATE: CAZIP CODE:
94547
CAPACITY:30CENSUS: 20DATE:
03/10/2026
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:YABIRAM ROJAS, PROGRAM MANAGERTIME COMPLETED:
10:50 AM
ALLEGATION(S):
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Client sustained unexplained injuries while in care
Staff did not provide a safe and comfortable environment for client
INVESTIGATION FINDINGS:
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***THIS IS AN AMENDED REPORT***
On 03/10/2026 at 09:40am, Licensing Program Analyst (LPA), Carol Fowler arrived unannounced to deliver amended complaint findings for the allegations above. LPA met with Yabiram Rojas Program Manager and explained the reason for the visit.

During the course of the investigation, During the visit LPA interview staff and clients and requested and received the following documents: IPP, Daily Student Notes, ID and Emergency Information, SIR's for May to August 2024, Intake Assessments, for C1, C2, and C3. Contact information for DSP's.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 15-AS-20240808112140
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: RES SUCCESS
FACILITY NUMBER: 079200239
VISIT DATE: 03/10/2026
NARRATIVE
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Allegation: Client sustained unexplained injuries while in care
Investigation Finding: unsubstantiated.

***THIS IS AN AMENDED REPORT***

During the investigation, the LPA interviewed W1, S1, S2 and S3. W1 reported that C1 had returned home on multiple occasions with bruises and scratches. W1 stated that C1 does not typically engage in self - harming behaviors and that the facility would notify W1 when injuries occurred however, staff were often unable to explain how the injuries happen as incidents were reportedly un-witnessed. S1 stated that when a client is injured staff report the incident to management, provide first aid to client and notify the responsible party including the board and care home or the client's parents. S2 stated that when a client injures themselves staff report the injury to management staff provide first aid, and management then contacts the parent or the boarding care home. S3 reported that when a client is injured at the program the incident is reported to management and first aid is provided. The LPA reviewed special incident reports, IPP, admissions agreement, and In-Service/Interim Needs & Services Plan which shows that C1 has self-harming behaviors, and confirmed that when C1 sustained injuries the incidents were reported to the parents and to community care licensing. Therefore, this allegation is unsubstantiated



CONTINUE ON LIC9099C

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 7
Control Number 15-AS-20240808112140
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: RES SUCCESS
FACILITY NUMBER: 079200239
VISIT DATE: 03/10/2026
NARRATIVE
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CONTINUE FROM LIC9099C

***THIS IS AN AMENDED REPORT***

Allegation: Staff did not provide a safe and comfortable environment for client


Investigation Finding: unsubstantiated.

During the investigation LPA interviewed W1, S1, S2 and S3. W1 reported Concerns regarding injuries C1 sustained while attending the program. W 1 stated that when the program contacted W1 to pick up C1, W1 was not permitted to enter the facility upon arrival and was unable to understand how the injuries occurred. W1 also reported that C1 has behavioral challenges which the program was aware of at the time of admission. W1 stated that the program accepted C1 despite these challenges and later expressed concerns that the facility was not equipped to appropriately manage the C1s behavior. W1 further reported that the environment was not suitable for C1. W1 stated that C1 has since been relocated to another program specializes in serving clients with behavioral needs and reported C1 is currently thriving in the new placement. S1 stated that the facility provides a safe comfortable environment, is fully staffed at all times and ensures staff presence and supervision. S1 stated further that the program follows all required safety policies and procedures. S3 reported that the facility is fully staffed and clients are never left alone and the clients are safe. Interview with S4 revealed that all staff are avaliable and make sure all spills are cleaned, projects are put away, staff are avaliable to support and supervise, staff also used google chat to communicate between staff, makes sure the facility complete safety checks on the vans daily. Interview with C4 revealed that the facility is safe and C4 enjoys the facility and feels safe at the facility and staff helps C4. Interview withe C5 revealed that C5 feels safe and enjoys the facility C5 stated that C5 already knows about safety and C5 is safe and staff is always around. LPA has conducted yearly annual inspections, and the facility has always been safe and the staff has always been present. Therefore, this allegation is unsubstantiated.

No deficiencies cited during visit.

Exit interview conducted and a copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/10/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/10/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 7