157202789-9-11-2023-24-AS-MHON-CVTTUZ-20230919150310

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157202789
Report Date: 09/11/2023
Date Signed: 09/11/2023 01:52:58 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/01/2023 and conducted by Evaluator Malia Thao

COMPLAINT CONTROL NUMBER: 24-AS-20230901100550

FACILITY NAME:	SVS BAKERSFIELD ADULT DAY PROGRAM		FACILITY NUMBER:	157202789
ADMINISTRATOR:	MENDEZ, CINTHYA GONZALEZ		FACILITY TYPE:	775
ADDRESS:	3601 UNION AVE		TELEPHONE:	(661) 323-0533
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93305
CAPACITY:	90	CENSUS:	DATE:	09/11/2023
		UNANNOUNCED	TIME BEGAN:	10:27 AM
MET WITH:	Administrator (Program Director) Victoria Green		TIME COMPLETED:	02:10 PM

ALLEGATION(S):

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Staff mishandled a client, resulting in bruising on their arm.

INVESTIGATION FINDINGS:

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On 9/11/23 at 10:27 AM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct an initial 10-day complaint inspection. LPA explained reason for inspection and met with Administrator Victoria Green.

LPA conducted interviews and reviewed records. Based on interviews conducted and records reviewed, LPA did not find that staff mishandled client resulting in bruising on their arm. S1, S2, and S3 all denied any physical contact with C1 that may have caused bruising on C1's arm. C1 was not available for interview. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. The above allegation is unsubstantiated.

Exit interview conducted. A copy of this report was given to Administrator, whose signature confirms receipt of this report.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Malia Thao
LICENSING EVALUATOR SIGNATURE:	DATE: 09/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2023

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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