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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200363
Report Date: 08/31/2023
Date Signed: 08/31/2023 11:40:49 AM

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
06/27/2023 and conducted by Evaluator Lisha Holmes
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20230627125333
FACILITY NAME:HODGES CARE HOMEFACILITY NUMBER:
079200363
ADMINISTRATOR:BRITTINI REDDITTFACILITY TYPE:
735
ADDRESS:2624 VIRGINIA AVENUETELEPHONE:
(510) 232-4046
CITY:RICHMONDSTATE: CAZIP CODE:
94804
CAPACITY:6CENSUS: 5DATE:
08/31/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Mya Hodges-Watson, LicenseeTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are mismanaging client's P & I funds
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Amended report to make public on 08/31/23 at 11:40 AM.
On 08/31/23 around 10:00 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to deliver the complaint finding for the above allegation. LPA met with Mya Hodges-Watson, Licensee and explained the purpose of the visit the visit.

During the investigation, LPA interviewed Staff (S1 & S2), and all Clients (C1, C2, C3 C4, C5). LPA requested a staff and client roster, reviewed Clients P & I records, physician's report, appraisal needs and services plan, ID and emergency contact forms.

Continued on LIC9099C...


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
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-20230627125333
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: HODGES CARE HOME
FACILITY NUMBER: 079200363
VISIT DATE: 08/31/2023
NARRATIVE
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...continued from LIC9099

Allegation: Staff are mismanaging client's P & I funds.
UNSUBSTANTIATED

Based on Interviews and records reviewed, facility staff deposited, disbursed, and managed C1, C2, C3, C4, & C5’s cash resources properly from March 2023 to July 2023. C4 stated that he/she knows how to count money and C3 stated he/she handles money with supervision. S1 and S2 stated that there were not any discrepancies on record or any large amounts dispersed that would cause alarm for someone that would not be able to handle their cash resources. Interviews revealed that zero (0) clients had any issues with itemizing any of their cash resources, purchasing personal items, snacks, or having funds available for miscellaneous items. S1 stated that S3 takes the clients into the community, take the clients shopping, and participate in activities.

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 and a copy of this report provided to Licensee.
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 08/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/31/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2