079201006-5-3-2023-15-AS-KHOS-CRLPPP-20230507112952

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079201006
Report Date: 05/03/2023
Date Signed: 05/03/2023 10:45:08 AM

Unfounded

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
05/02/2023 and conducted by Evaluator James Sampair

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20230502081907

FACILITY NAME:	VIAMONTE AT WALNUT CREEK		FACILITY NUMBER:	079201006
ADMINISTRATOR:	MELODY MITCHELL ALLEN		FACILITY TYPE:	741
ADDRESS:	2801 SHADELANDS DRIVE		TELEPHONE:	(925) 954-2600
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94598
CAPACITY:	300	CENSUS: 214	DATE:	05/03/2023
		UNANNOUNCED	TIME BEGAN:	08:50 AM
MET WITH:	Executive Director Melody Allen		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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9

Facility staff member is under the influence of drugs at the facility.

INVESTIGATION FINDINGS:

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13

On 05/03/2023 at 8:55 AM, Licensing Program Analyst (LPA) J Sampair arrived unannounced to conduct a complaint inspection. At approximately 9:00 AM, the LPA met with Executive Director (ED) Melody Allen and explained the purpose of the visit.

During this investigation of the allegation above, the LPA conducted a record review, interviewed the ED, and Human Resources Assistant, Carlos Via. Based on the data collected, the allegation is false, could not have happened, and/or is without a reasonable basis; therefore, the above allegation has been found to be UNFOUNDED.

No citations issued. Exit interview conducted and a copy of this report provided via email.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: James Sampair	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 05/03/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/03/2023

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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