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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198602925
Report Date: 05/30/2024
Date Signed: 06/21/2024 10:24:11 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/18/2023 and conducted by Evaluator Socorro Leandro
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20230418152541
FACILITY NAME:COLE VOCATIONAL SERVICES PACIFICFACILITY NUMBER:
198602925
ADMINISTRATOR:DARCY FARIASFACILITY TYPE:
775
ADDRESS:2290 PACIFIC AVETELEPHONE:
(562) 349-0520
CITY:LONG BEACHSTATE: CAZIP CODE:
90806
CAPACITY:30CENSUS: 13DATE:
05/30/2024
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Director - Patrick MichelTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
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9
Staff made sexually inappropriate gestures while in the presence of a client
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
This is an amendment the purpose of this amendment is to replace wording of Reporting Party and make the LIC9099 more concise.

On 05/30/2024 around 9:40 AM Licensing Program Analyst (LPA) Leandro conducted an unannounced, continuation complaint visit to the above-mentioned facility. LPA was met by Patrick Michel, Director and explained the purpose of the visit.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024
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 3
Control Number 11-AS-20230418152541
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: COLE VOCATIONAL SERVICES PACIFIC
FACILITY NUMBER: 198602925
VISIT DATE: 05/30/2024
NARRATIVE
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This is an amendment the purpose of this amendment is to replace wording of Reporting Party and make the LIC9099 more concise.

The investigation consisted of the following:
On 04/19/2023, LPA Calderon interviewed 6 staff, and 4 clients. LPA Calderon requested and obtained facility records.
On 4/20/2023, Community Care Licensing Division, Investigation Brach (IB), Investigator Seng interviewed Client 1 (C1), one witness, and one staff.
A total of 11 people were interviewed, which consisted of 4 clients, 6 staff and 1 witness.
On 5/29/2024, LPA Leandro reviewed records which consisted of interviews conducted and Client 1’s records.

The investigation revealed the following: Regarding the allegation “Staff made sexually inappropriate gestures while in the presence of a client,” it is being alleged that on 04/17/2023 Staff 1 (S1) exposed their private parts to Client 1 and started making inappropriate movements/gestures. 4 out 4 staff interviews working with S1 the day of the incident indicated that they did not see or hear anything inappropriate. 3 out of 4 client interviews indicate that S1 has never done or said anything that would be found to be inappropriate. Interviews conducted indicate that C1 has a history of making up stories. Record review reveal that C1 was diagnosed with schizophrenia. Regarding the allegation, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred, therefore the allegation is unsubstantiated.

No deficiency was cited for this allegation.

An exit interview was conducted, and a copy of the Complaint Report was provided to the Administrator.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20230418152541
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME: COLE VOCATIONAL SERVICES PACIFIC
FACILITY NUMBER: 198602925
VISIT DATE: 05/30/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
This is an amendment the purpose of this amendment is to replace wording of Reporting Party and make the LIC9099 more concise.
SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Socorro Leandro
LICENSING EVALUATOR SIGNATURE:

DATE: 05/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/30/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3