157208938-9-18-2024-24-AS-SPIY-D9EMFU-20240924093454

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 157208938
Report Date: 09/18/2024
Date Signed: 09/18/2024 02:57:21 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
03/29/2024 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20240329161815

FACILITY NAME:	PURPOSEFUL RESIDENTIAL CARE: ERIE PLACE		FACILITY NUMBER:	157208938
ADMINISTRATOR:	VICKERS, TYSON		FACILITY TYPE:	735
ADDRESS:	1308 ERIE ST		TELEPHONE:	(661) 742-6007
CITY:	BAKERSFIELD	STATE: CA	ZIP CODE:	93307
CAPACITY:	6	CENSUS: 2	DATE:	09/18/2024
		UNANNOUNCED	TIME BEGAN:	01:32 PM
MET WITH:	Neisha Payton		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Staff sexually abused resident
Staff are not providing a comfortable environment for residents
Staff made inappropriate comments towards residents

INVESTIGATION FINDINGS:

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On 9/18/24, Licensing Program Analyst (LPA) M. Medina conducted an unannounced subsequent complaint visit to deliver findings. LPA introduced self and stated purpose of visit and allowed entrance by caregiver. LPA contacted Administrator by telephone and was not available to conduct today's visit. LPA met with House Manager, Neisha Payton to deliver findings.

During course of the investigation, facility was toured, records reviewed, and interviews conducted. This department had insufficient information regarding the allegations listed above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or disprove that the allegations occurred therefore the allegations are UNSUBSTANTIATED.

No deficiencies issued during this complaint visit . Exit interview conducted. A copy of this report was provided to Administrator for facility records

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:	DATE: 09/18/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/18/2024

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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