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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079201349
Report Date: 07/25/2025
Date Signed: 07/25/2025 11:08:13 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
05/30/2025 and conducted by Evaluator Lisha Holmes
PUBLIC
COMPLAINT CONTROL NUMBER: 15-AS-20250530145730
FACILITY NAME:CATALYST CARES ADULT DAY PROGRAMFACILITY NUMBER:
079201349
ADMINISTRATOR:FREEMAN, MAVISFACILITY TYPE:
775
ADDRESS:3905 SAN PABLO DAM ROADTELEPHONE:
(510) 390-5538
CITY:EL SOBRANTESTATE: CAZIP CODE:
94803
CAPACITY:60CENSUS: 26DATE:
07/25/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Rubidia Valenzuela, Team LeadTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Staff yelled at residents
Staff handled residents in a rough manner
Resident sustained unexplained bruising while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/25/2025 around 09:00 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to deliver the findings for the complaint investigation. LPA met with Rubidia Valenzuela, Team Lead and Mavis Freeman, CEO/Administrator (ADM) was advised of the visit.

During the course of the investigation and visits, LPA conducted interviews and obtained statements from Staff (S1, S2, S3, S6), Witnesses (W1, W2, W3, W4) and Clients (C1, C2). LPA, S1 and S2 toured the facility, LPA requested a staff and resident roster including but not limited to face sheets, self-injurious reports, training records, behavior plans, behavior response policy, LIC 624s, progress and assessment reports.

Continued on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2025
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 3
Control Number 15-AS-20250530145730
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: CATALYST CARES ADULT DAY PROGRAM
FACILITY NUMBER: 079201349
VISIT DATE: 07/25/2025
NARRATIVE
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2
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5
6
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18
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21
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...continued from LIC9099.

Allegations: UNSUBSTANTIATED


Staff yelled at residents
Staff handled residents in a rough manner
Resident sustained unexplained bruising while in care

Staff yelled at residents

On 05/29/2025, the alleged allegation occurred at C2’s Day Program. The Reporting Party was not forthcoming with any additional information regarding staff members yelling at C2 or any other clients. S1 relayed to W2 that he/she was not present at the facility on 05/26/25. S1 provided LPA with proof of communications regarding C2 that included text messages, and LIC624 for an incident on 05/29/25 which was related to C2's behavior. Interviews and statements from C1, C2, S1, S2, S3, and S4 did not reveal that any staff yelled at C2, or any other Clients. S1 had not received any written or oral communications from S2, S3, S6, or W2 regarding the allegation in order to investigate any wrong doings.

Staff handled residents in a rough manner

On 05/29/2025, the alleged allegation occurred at C2’s Day Program. W2 questioned S1 about bruising on C2’s upper torso. S1 relayed to W2 that he/she was not present at the facility and that no other staff had reported any staff handling any clients in a rough. S1 provided LPA with proof of communications regarding C2 that included text messages, and LIC624 for an incident on 05/29/25 which was related to C2's behavior. Interviews and statements from C1, C2, S1, S2, S3, and S4 did not reveal that any staff handled C2 in a rough manner, or any other clients. S1 had not received any written or oral communications from S2, S3, S6, or W2 regarding the allegation in order to investigate any wrong doings.

...continued on LIC9099C.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 15-AS-20250530145730
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: CATALYST CARES ADULT DAY PROGRAM
FACILITY NUMBER: 079201349
VISIT DATE: 07/25/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
...continued from LIC9099C.

Resident sustained unexplained bruising while in care

On 05/29/2025, the alleged allegation occurred at C2’s Day Program. The Reporting Party (RP) stated that photos were obtained but RP was not forthcoming. W2 questioned S1 about bruising on C2’s upper torso. S1 relayed to W2 that he/she was not present at the facility and that no other staff had reported any bruising. S1 provided LPA with proof of communications regarding C2 that included text messages, and LIC624 for an incident on 05/29/25 which was related to C2's behavior. Interviews and statements from C1, C2, S1, S2, S3, and S4 did not reveal that C2, or any other Clients sustained unexplained bruises. S1 had not received any written or oral communications from S2, S3, S6, or W2 regarding the allegation in order to investigate any wrong doings.

Based on information obtained, the allegations are UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that the allegations are not valid because the preponderance of the evidence standard has not been met.

No deficiencies cited, exit interview conducted, a copy of this report provided to Rubidia Valenzuela, Team Lead.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/25/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3