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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 216803883
Report Date: 12/05/2024
Date Signed: 12/05/2024 09:30:49 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
09/25/2024 and conducted by Evaluator Caitlynn Felias
COMPLAINT CONTROL NUMBER: 21-AS-20240925165522
FACILITY NAME:MARIN VENTURESFACILITY NUMBER:
216803883
ADMINISTRATOR:RAYMOND CASHELFACILITY TYPE:
775
ADDRESS:10 JOSEPH COURTTELEPHONE:
(415) 472-4961
CITY:SAN RAFAELSTATE: CAZIP CODE:
94903
CAPACITY:75CENSUS: 45DATE:
12/05/2024
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Administrator, Joe CashelTIME COMPLETED:
09:45 AM
ALLEGATION(S):
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Client sustained unexplained injuries while in care
Staff did not seek timely medical attention for client in care as necessary
INVESTIGATION FINDINGS:
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At approximately 9:10AM, Licensing Program Analyst (LPA) Felias arrived unannounced to deliver findings for a Complaint regarding the above allegations and met with Administrator, Joe Cashel.

During the course of the investigation, the Department requested and reviewed documents, conducted interviews, and made observations. The following allegations were investigated, “Client sustained unexplained injuries while in care” and “Staff did not seek timely medical attention for client in care as necessary.” Per report provided, Client 1 (C1) takes a third-party transportation bus to and from the facility. When C1 got off the bus and arrived at their home, C1 was observed to have a large bruise and nodule on their arm. Report stated that C1 required hospitalization and was found to have a broken arm and a black eye. Report continued to state that no medical attention was provided to C1 at the facility.

Continued on LIC9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Caitlynn Felias
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
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 21-AS-20240925165522
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: MARIN VENTURES
FACILITY NUMBER: 216803883
VISIT DATE: 12/05/2024
NARRATIVE
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Continued from LIC9099

Interview conducted with Facility Administrator on 10/01/2024 stated that C1 was observed to be in a good mood at the facility and did not appear to be distressed when boarding the transportation bus to go home. During interviews conducted on 10/01/2024,10/28/2024 and 11/12/2024, Complainant informed the Department that they believe the bus and the bus company are at fault for causing C1’s injuries and has pursued an investigation with other entities. Complainant stated that C1 was observed to have had a good day and was happy when they left on the bus by facility staff. Complainant further stated that the facility would not seek medical attention for C1 since C1 was not at the facility when the injuries took place. Complainant stated that they understand that Community Care Licensing only regulates the licensed facility and is unable to make determinations regarding outside/third party vendors.

Based on interviews conducted the Department was unable to determine if a violation of Title 22 Regulations has occurred, therefore, the allegations are Unsubstantiated.

A finding that the complaint allegation is Unsubstantiated means that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.



No Deficiencies Cited during visit.

Exit interview conducted. Copy of report and LIC811 (Confidential Names) discussed and provided to Administrator. Signature on form confirms receipt of documents.
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Caitlynn Felias
LICENSING EVALUATOR SIGNATURE:

DATE: 12/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/05/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3