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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603283
Report Date: 12/23/2024
Date Signed: 12/23/2024 03:38:20 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
12/19/2024 and conducted by Evaluator Jose Villalobos
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20241219112603
FACILITY NAME:VICTOR SUNSHINE RESIDENTIAL CAREFACILITY NUMBER:
198603283
ADMINISTRATOR:MORA, VICTOR OLIVER RFACILITY TYPE:
735
ADDRESS:1410 S. RIDLEY AVE.TELEPHONE:
(626) 346-3498
CITY:HACIENDA HEIGHTSSTATE: CAZIP CODE:
91745
CAPACITY:4CENSUS: 3DATE:
12/23/2024
UNANNOUNCEDTIME BEGAN:
11:40 AM
MET WITH:Administrator Victor MoraTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Staff spoke inappropriately towards a client while in care
INVESTIGATION FINDINGS:
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Licensing Program Anaylst (LPA) Jose Villalobos conducted an unannounced complaint investigation visit for the allegation listed above. LPA met with administrator Victor Mora and the purpose of the visit was discussed.

LPA conducted the following during the visit: LPA toured the physical plant, interviewed staff #1-3 (S1-S3), interviewed client #1-3 (C1-C3), interviewed clients placement agency (A1), collected copies of the staff and client roster, as well as documents from S1 and C1's file. The investigation revealed the following:

Continued on LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Jose Villalobos
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2024
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-20241219112603
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: VICTOR SUNSHINE RESIDENTIAL CARE
FACILITY NUMBER: 198603283
VISIT DATE: 12/23/2024
NARRATIVE
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In regards to the allegation: Staff spoke inappropriately towards a client while in care, it is alleged that S1 resorted to name-calling, making disparaging remarks and used expletives directed at C1 during a progress review meeting. Further details provided added that the meeting took place on 12/18/24 and it included C1, A1 and S1 who attended via zoom. (3) of (3) Staff interviewed denied the allegation. (3) of (3) Clients interviewed could not corroborate the allegation. S1 denied the allegation. LPA was informed that S1 was not present personally in the meeting with everyone else, but was there through a zoom call. S1 stated that the zoom call was initiated by A1 and the camera was only directed at C1 even though the conversation included other individuals. S1 stated they never directed any frustration, name calling, or use of expletive language at C1 during the meeting. S1 stated that any frustration and expletive language was in conversation between S1 and A1. Interview with C1 stated that S1 has never used expletive language when talking to clients and that includes the meeting that took place. C1 stated that S1 did not call them any names or made disparaging remarks towards them. C1 added that S1 was upset with A1 and not the clients in care. Interview with other clients in care also stated that they have never heard S1 make any disparaging remarks or to use expletive language towards 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.

Exit interview was conducted and a copy of this report was provided to Administrator Mora.
NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Jose Villalobos
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/23/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2