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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601138
Report Date: 08/19/2024
Date Signed: 08/19/2024 03:43:17 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/13/2024 and conducted by Evaluator Luis Mora
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20240813145459
FACILITY NAME:SOCIAL VOCATIONAL SERVICES NORWALK INCLUSION CENTEFACILITY NUMBER:
198601138
ADMINISTRATOR:MONICA VALENCIAFACILITY TYPE:
775
ADDRESS:11849 FIRESTONE BLVD.TELEPHONE:
(310) 944-3303
CITY:NORWALKSTATE: CAZIP CODE:
90650
CAPACITY:27CENSUS: 56DATE:
08/19/2024
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:Monica Valencia - Program DirectorTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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9
Staff pushed client
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Luis Mora conducted an unannounced initial complaint visit regarding the above allegation. LPA met with Monica Valencia (Program Director) and explained the reason for the visit.

The investigation consisted of the following: LPA interviewed the Program Director, Staff 1 - Staff 4 (S1 - S4), Client 1 - Client 5 (C1 - C5), and C1's Home Facility Program Director.

The investigation revealed the following: regarding the allegation "staff pushed client", it is alleged that a big guy with glasses pushed C1 when C1 was entering through the door. Administrator stated that there are only 2 individuals that wear glasses which are S1 and a third party behavior consultant. Administrator stated that the behavior consultant wears glasses, but is not a big guy. S1 denied pushing C1. All other staff interviewed could not corroborate the allegation. C1 could not provide a name, date or time that this occured. Furthermore, LPA asked C1 if this guy was a staff or client, and C1 answered staff, but then switched the answer to client and back to staff. (Continued to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Luis Mora
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024
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 2
Control Number 28-AS-20240813145459
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: SOCIAL VOCATIONAL SERVICES NORWALK INCLUSION CENTE
FACILITY NUMBER: 198601138
VISIT DATE: 08/19/2024
NARRATIVE
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C1's Home Facility Program Director stated that per a conversation with C1's Regional Center Service Coordinator, C1 has a history of making up stories. All other clients interviewed could not corroborate the allegation.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Exit interview held and a copy of the report was provided
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Luis Mora
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 08/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2