342700907-9-19-2024-27-AS-KHOS-DA4NX6-20241016105036

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700907
Report Date: 09/19/2024
Date Signed: 09/19/2024 02:50:22 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
08/06/2024 and conducted by Evaluator Christina Valerio

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20240806092300

FACILITY NAME:	HOPEFUL TOMORROW HOMES, LLC		FACILITY NUMBER:	342700907
ADMINISTRATOR:	ANDRADA, MONALYN		FACILITY TYPE:	737
ADDRESS:	12857 CHEROKEE LANE		TELEPHONE:	(916) 890-4282
CITY:	GALT	STATE: CA	ZIP CODE:	95632
CAPACITY:	4	CENSUS: 4	DATE:	09/19/2024
		UNANNOUNCED	TIME BEGAN:	01:28 PM
MET WITH:	Monalyn Andrada		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Staff yelled at resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to deliver complaint investigation findings. LPA Valerio met with Administrator Monalyn, and explained the purpose of the visit.

The investigation consisted of records review, interviews with residents, and interviews with staff. According to the Reporting Party (RP), an incident occured on 08/05/24 where Staff 1 (S1) yelled at Resident 1 (R1) because R1 intervened an incident with another resident, Resident 2 (R2), at the home. Based on records review and an interview with Staff 2 (S2), there was not an incident with R1 or R2 on 08/05/24. Based on shared information, there was an incident on 08/08/24 with R2 and S1 and other staff on shift. R2 was experiencing specific behaviors and staff on shift were attempting to redirect and deescalate the situation. During the incident, R1 told R2 not to hit staff. Afterwards, R2 attempted to kick R1 but was unsuccessful due to staff intervention. R1 and R2 engaged in a verbal altercation but were separated by staff.

Continues on LIC 9099- C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

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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Control Number 27-AS-20240806092300

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: HOPEFUL TOMORROW HOMES, LLC	FACILITY NUMBER: 342700907
	VISIT DATE: 09/19/2024

NARRATIVE

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Continued from LIC 9099

LPA Valerio interviewed three (3) residents. Based on interviews with the three residents, 0 out of 3 interviews indicated that staff yell at the residents. Residents did not indicate that they observed staff yelling at residents.

LPA Valerio interviewed S1. S1 reported that staff do not yell at residents; however, there are some staff members who speak loudly, more so than other staff. S1 clarified that statement by stating that some staff do not have a soft spoken voice. S1 stated when they speak to residents, they are professional.

Due to the above noted information, 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, and therefore the allegations are unsubstantiated. Per California Code of Regulations (CCRs) - no deficiencies cited. An exit interview was held, and a copy of report was left at the facility.

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:	DATE: 09/19/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/19/2024

LIC9099 (FAS) - (06/04)

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