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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601943
Report Date: 07/22/2025
Date Signed: 07/22/2025 01:01:29 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, 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
07/14/2025 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250714152659
FACILITY NAME:INCLUSION SPECIALIZED PROGRAMS LLC - WILCOXFACILITY NUMBER:
198601943
ADMINISTRATOR:RAYMUNDO LOPEZFACILITY TYPE:
735
ADDRESS:8134 WILCOX AVETELEPHONE:
(562) 447-0991
CITY:CUDAHYSTATE: CAZIP CODE:
90201
CAPACITY:3CENSUS: 3DATE:
07/22/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Staff Veronica MendezTIME COMPLETED:
01:15 PM
ALLEGATION(S):
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Staff are not properly reporting incidents to authorized representatives
Staff are not meeting the needs of the client
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Trueman conducted the unannounced ten day investigation visit regarding the above allegations. LPA met with Staff Veronica Mendez, and the purpose of the visit was discussed.
During this visit LPA interviewed Client's C1 and C2.
Interviews were conducted with Staff Veronica Mendez and the Administrator was interviewed (telephonically).
Interview was conducted telephonically with Crisis Support Services Representative (telephonically)
File for Client C1 was reviewed and the following was submitted:
Special Incident Report's (SIR's), Individual Program Plan (IPP) and Physician's Report were submitted.
In regards to the allegation Staff are not properly reporting incidents to authorized representatives, based on interviews conducted and information gathered Client C1 stated that when she AWOL's staff tries hard to get her back.
Said staff will tell her come on and lets come back. Said staff will report it to Raymundo.
Representative from South Central Regional Center (SCLARC) stated that the Administrator will do SIR's
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: 07/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025
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-20250714152659
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: 07/22/2025
NARRATIVE
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everytime Client C1 AWOL's.
Stated that emergency Room visits the Administrator will also notify her.
SIR received by Licensing on 07/13/25.
Staff stated they always have to report AWOL's and anything affecting a client's safety to the Administrator immediately.
Crisis Support Services Representative stated that they have responded to the facility on multiple occasions.
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.

In regards to the allegation Staff are not meeting the needs of the client, based on interviews conducted and information gathered Client C1 stated that staff try hard to keep her from AWOL'ing ad she likes all staff.
Client C2 stated that he has seen several times police bringing back Client C1. Stated C1 has behaviors and just yesterday hit and injured a staff.
Said sometimes she sneaks out and has seen the Crisis Team called out.
Individual Program Plan (IPP) states under current status that Client C1 runs into streets without looking for incoming traffic.
Also states that C1 will leave the facility without permission.
Under Desired Outcome #11 it states that C1 will exhibit zero instances of running away every week in order for her to increase living arrangement stability.
Staff stated that the protocol is to call the Administrator right away if there is an AWOL.
Said if it escalates with Client C1's behaviors they will call the Crisis Team.
Administrator said staff will report to him right away.
Staff said sometimes they follow her for hours, but it is very difficult because C1 will throw rocks at them or hit them.
Stated that 1 staff is on medical leave regarding C1 hitting them.

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.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2