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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 216800912
Report Date: 07/22/2025
Date Signed: 07/22/2025 09:51:50 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/18/2025 and conducted by Evaluator Anthony Loera
COMPLAINT CONTROL NUMBER: 21-AS-20250418152644
FACILITY NAME:BEACONLIGHT CARE HOMEFACILITY NUMBER:
216800912
ADMINISTRATOR:HYPPOLITE, WALLYFACILITY TYPE:
735
ADDRESS:1468 SOUTH NOVATO BLVDTELEPHONE:
(415) 756-5525
CITY:NOVATOSTATE: CAZIP CODE:
94947
CAPACITY:6CENSUS: 6DATE:
07/22/2025
UNANNOUNCEDTIME BEGAN:
09:05 AM
MET WITH:Administrator, Wally HyppoliteTIME COMPLETED:
10:05 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff touched a resident inappropriately
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/22/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of delivering complaint findings regarding the above allegation. LPA arrived and met with Administrator, Wally Hyppolite. During the investigation, LPA conducted interviews, reviewed documents and made observations.
Based upon departmental document review and interviews conducted with staff and clients, information provided was contradicting with a lack of corroborating evidence to support the allegation. Complainant alleges, facility staff (S1) touched a client (C1) inappropriately. Interview with C1 claims the incident happened over a year ago and “a couple of times”. Interviews conducted with 4 of 4 clients, all stated they do not have any concerns regarding S1 or have seen S1 touch C1 inappropriately. Interviews with 3 of 3 staff did not disclose the incident happening with C1 or other clients in care. Per C1s Individual Program Plan dated (10/24/22), there is no information of C1 making false accusations.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR 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)
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