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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306001736
Report Date: 07/31/2024
Date Signed: 07/31/2024 01:21:17 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/22/2024 and conducted by Evaluator Joseph Alejandre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240722153616
FACILITY NAME:VOCATIONAL VISIONSFACILITY NUMBER:
306001736
ADMINISTRATOR:LAURA MARTINEZFACILITY TYPE:
775
ADDRESS:23612 ALAMBRETELEPHONE:
(949) 837-7280
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:160CENSUS: 75DATE:
07/31/2024
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Bob HenningTIME COMPLETED:
11:59 AM
ALLEGATION(S):
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Staff handled clients in a rough manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Director of Operations Bob Henning and explained the reason for the visit. During the course of the investigation LPA reviewed facility files and interviewed staff and watched surveillance video. The investigation revealed the following. It was alleged Client 1 (C1) was handled in a rough manner. On or around July 17, 2024 at 1:30 pm C1 was in the upstairs activity room at the facility. There were numerous staff and clients present involved in various activities. Around 1:30 pm C1 was sitting next to Staff 1 (S1) and C1 hit S1. S1 reacted by grabbing both of C1's hands and holding them in C1's lap for around 9 seconds. During this time C1 could not freely move their hands. The incident was recorded on surveillance video which the LPA watched with the Director of Operations. Staff 2 (S2) was present and attempted to de-escalate the incident. S1 stayed engaged with C1 for another 3 minutes and then walked away. The video has no audio.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2024
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 4
Control Number 22-AS-20240722153616
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: VOCATIONAL VISIONS
FACILITY NUMBER: 306001736
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/31/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/01/2024
Section Cited
CCR
82072(a)(3)
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To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature...
This requirement is not being met as evidenced by,
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Licensee agrees to train all staff in CCR 82072 Personal Rights and to document the training. Proof of training to be forwarded to the LPA when it is completed.
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On July 17, 2024 at around 1:30 pm Staff 1 (S1) grabbed Client 1's (C1) hands after C1 hit S1, which poses an immediate health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 4
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/22/2024 and conducted by Evaluator Joseph Alejandre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20240722153616

FACILITY NAME:VOCATIONAL VISIONSFACILITY NUMBER:
306001736
ADMINISTRATOR:LAURA MARTINEZFACILITY TYPE:
775
ADDRESS:23612 ALAMBRETELEPHONE:
(949) 837-7280
CITY:MISSION VIEJOSTATE: CAZIP CODE:
92691
CAPACITY:160CENSUS: 75DATE:
07/31/2024
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Bob HenningTIME COMPLETED:
11:59 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff spoke inappropriately to clients
INVESTIGATION FINDINGS:
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13
Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with the Director of Operations Bob Henning and explained the reason for the visit. The investigation revealed the following. On July 17, 2024 at around 1:30 pm there was an incident. C1 was sitting next to Staff 1 (S1) and C1 hit S1. S1 reacted by grabbing both of C1's hands and holding them in C1's lap for 9 seconds. During this time C1 could not freely move their hands. The incident was recorded on surveillance video which the LPA watched with the Director of Operations. The video has no audio. 2 out of 2 staff present reported that no staff members spoke inappropriately to clients. LPA attempted to interview 3 clients who were present during the incident but none of the clients wanted to be interviewed. C1 could not be reached to be interviewed. No evidence was gathered to support the allegation.LPA is unable to corroborate the allegation. Therefore, the allegation is deemed unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and a copy of this report was provided to facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 4
Control Number 22-AS-20240722153616
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: VOCATIONAL VISIONS
FACILITY NUMBER: 306001736
VISIT DATE: 07/31/2024
NARRATIVE
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Based on the evidence gathered the preponderance of evidence standard has been met therefore the allegation is substantiated. Deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of the report was provided along with appeal rights.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 07/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/31/2024
LIC9099 (FAS) - (06/04)
Page: 4 of 4