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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609804
Report Date: 01/18/2022
Date Signed: 01/18/2022 02:09:31 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, 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
01/13/2022 and conducted by Evaluator Wendell Smith
COMPLAINT CONTROL NUMBER: 31-AS-20220113170305
FACILITY NAME:ALLIANCE ADULT RESIDENTIAL HOMES INCFACILITY NUMBER:
197609804
ADMINISTRATOR:WAKABI, MOSES DFACILITY TYPE:
735
ADDRESS:7821 HESPERIA AVENUETELEPHONE:
(747) 254-4154
CITY:RESEDASTATE: CAZIP CODE:
91335
CAPACITY:4CENSUS: 3DATE:
01/18/2022
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Moses WakabiTIME COMPLETED:
01:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Clients were shown pornography while in care.
Clients was threatened while in care.
Clients were spoken to inappropriately while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Wendell Smith conducted an unannounced complaint visit to investigate the allegations above. LPA met with the administrator and explained the reason for this visit.

It is alleged that a former staff #1 (S1) showed client's inappropriate pictures, threatened harm to clients, and spoke inappropriate to clients. LPA conducted interviews with clients and facility staff from 9:45am-11am. LPA reviewed staff and client files from 11-11:30am. LPA also spoke with staff from North Los Angeles Regional Center (NLRC) regarding these allegations. Information from interviews reveal that there is not enough information to state that S1 showed client's inappropriate pictures, threatened anyone, or spoke inappropriately to the clients. Three of the clients interviewed stated that none of the allegations took place. LPA was unable to speak with S1 due to S1 being out of the country at the time. Based on the information obtained through interviews all three of these allegations are deemed Unsubstantiated at this time.
Exit Interview conducted.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Wendell Smith
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2022
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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