198601943-9-5-2024-28-AS-RORN-D8ZLCL-20240911083830

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198601943
Report Date: 09/05/2024
Date Signed: 09/05/2024 10:41:06 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
07/25/2024 and conducted by Evaluator Glenn Trueman

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20240725132105

FACILITY NAME:	INCLUSION SPECIALIZED PROGRAMS LLC - WILCOX		FACILITY NUMBER:	198601943
ADMINISTRATOR:	JUAN RAMIREZ		FACILITY TYPE:	735
ADDRESS:	8134 WILCOX AVE		TELEPHONE:	(562) 447-0991
CITY:	CUDAHY	STATE: CA	ZIP CODE:	90201
CAPACITY:	3	CENSUS: 3	DATE:	09/05/2024
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Raymundo Lopez		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Financial abuse

INVESTIGATION FINDINGS:

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The purpose of the visit is to add additional information to the previous report dated 8/2/24. The findings will remain the same.
The initial visit was completed on 08/02/2024 and the following was completed:
Licensing Program Analyst (LPA) Glenn Trueman conducted the unannounced ten day investigation visit regarding the above allegation. LPA met with Staff Veronica Mendez, and the purpose of the visit was discussed.
During this visit LPA interviewed from 10:00 AM to 10:30 AM Client's C1 and C2. C2 was interviewed telephonically. Client C3 refused to be interviewed.
Interviews were conducted with Staff Veronica Mendez and Staff S1 from 10:35 AM to 11:00 AM and the Administrator was interviewed (telephonically) at 11:00 AM.
LPA reviewed documentation provided from the Inclusion Human Resource Department regarding Staff S2.
For the allegation of Financial abuse, it was alleged that Staff S2 used EBT cards of clients at the facility for himself and was cashing clients social security checks for himself.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024

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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Control Number 28-AS-20240725132105

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: INCLUSION SPECIALIZED PROGRAMS LLC - WILCOX	FACILITY NUMBER: 198601943
	VISIT DATE: 09/05/2024

NARRATIVE

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Based on interviews conducted and information gathered it was revealed by interviews with facility staff that Staff S2 has not worked at this facility since 2022.
Staff also stated that clients do not receive EBT cards and social security checks are sent to the main office and not the facility. Stated that Client's C4 and C5 have never been at this facility.
Interviews with Client C1 and C2 who stated that Staff S2 has not been here for awhile.
C1 and C2 also stated that they do not receive EBT cards and that the social security checks go directly to the main office.
Interview with Human Resource Representative who stated that Staff S2 last worked at this facility 03/04/2022.
Also stated that Client's C4 and Client C5 have never been at this facility.
Stated that clients are not given an EBT card and that the social security check is sent to the home office and not the facility.
LPA reviewed documentation from the Human Resource Department regarding Staff S2.
Documentation confirmed that Staff S2 submitted a resignation letter effective 03/04/2022.

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 conducted.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/05/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2024

LIC9099 (FAS) - (06/04)

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