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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 317005526
Report Date: 09/11/2024
Date Signed: 10/07/2024 11:10:24 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/11/2024 and conducted by Evaluator Todd Tryon
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20240611154355
FACILITY NAME:REACH ADULT DEVELOPMENT SITE #4FACILITY NUMBER:
317005526
ADMINISTRATOR:SUH, SEANFACILITY TYPE:
775
ADDRESS:1140 SUNSET BLVD STE 145TELEPHONE:
(916) 616-0729
CITY:ROCKLINSTATE: CAZIP CODE:
95765
CAPACITY:30CENSUS: 14DATE:
09/11/2024
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Karissa Blair, Case ManagerTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff yell at the clients
Staff humiliate the clients
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 9/11/2024 LPA Tryon visited the facility to complete the complaint. LPA met with Karissa Blair, Case Manager.
During the course of the investigation LPA has toured the facility; interviewed 5 of 6 staff and interview 2 clients.
Regarding the allegation that staff yell at clients, LPA learned that there was a staff person in the past who may have "yelled" at clients, such as through a door. However, there is no indication that the staff was actually heard by a client or that there was a reaction. The staff person in question was terminated. In recent months, no one gave any indication that any staff has yelled at a client. Allegation is UNSUBSTANTIATED.
Regarding the allegation that staff humiliate the clients, Some evidence was found that a former staff person may have teased a resident regarding food. However, that staff person's employment has been terminated, and no one has witnessed any current staff attempting to humilate clients in any way. Allegation is UNSUBSTANTIATED. A finding of unsubstantiated means that although the alleged violation may have occurred, there is not enough evidence to prove the allegation. This is an amended document.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/11/2024
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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