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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197606334
Report Date: 06/08/2021
Date Signed: 06/08/2021 10:28:35 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/07/2021 and conducted by Evaluator Wendell Smith
COMPLAINT CONTROL NUMBER: 31-AS-20210607150017
FACILITY NAME:SUNSHINE'S PLACEFACILITY NUMBER:
197606334
ADMINISTRATOR:ROSARIO SORIANOFACILITY TYPE:
740
ADDRESS:7301 QUARTZ AVENUETELEPHONE:
(818) 882-0947
CITY:CANOGA PARKSTATE: CAZIP CODE:
91306
CAPACITY:6CENSUS: 4DATE:
06/08/2021
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Rosario SorianoTIME COMPLETED:
09:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Client is being physically abused while in care
Client is not being provided appropriate care and supervision while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Wendell Smith initiated an initial complaint visit to this facility. LPA met with the administrator and explained the reason for this visit.
Regarding the allegations above LPA conducted an interview with the administrator regarding the allegations. Information from the interview revealed that the resident #1 (R1) that the allegations are about does not stay at this facility and stays at another facility SUNSHINE'S PLACE II 197607506. Based on the information obtained this allegation is deemed Unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. A complaint will be written on facility SUNSHINE'S PLACE II with the same allegations.
Exit interview conducted.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Cassandra HarrisTELEPHONE: (818) 596-4342
LICENSING EVALUATOR NAME: Wendell SmithTELEPHONE: (818) 738-4525
LICENSING EVALUATOR SIGNATURE:

DATE: 06/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/08/2021
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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