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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701459
Report Date: 12/18/2025
Date Signed: 12/18/2025 01:32:23 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
10/19/2025 and conducted by Evaluator Noel Wolf Petersen
COMPLAINT CONTROL NUMBER: 27-AS-20251019203431
FACILITY NAME:REACH ADULT DEVELOPMENT INC.FACILITY NUMBER:
342701459
ADMINISTRATOR:SUH, SEANFACILITY TYPE:
775
ADDRESS:2489 SUNRISE BLVD.TELEPHONE:
(916) 212-6476
CITY:GOLD RIVERSTATE: CAZIP CODE:
95670
CAPACITY:45CENSUS: 31DATE:
12/18/2025
UNANNOUNCEDTIME BEGAN:
01:15 PM
MET WITH:Evelyn NievesTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff did not provide adequate supervision resulting in client sustaining bruises.
INVESTIGATION FINDINGS:
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Licensing Program Analyst, LPA Noel Wolf Petersen arrived unannounced on 12/18/25 at 1:15pm to deliver findings of the investigation into the above allegation. LPA met with administrator Evelyn Neives, to explain the purpose of the visit

The LPA interviewed 6 of 9 staff, consensus statement is R1 was known to the staff do various behaviors that may have resulted in the pattern bruising, and careful observation and positioning of R1 to prevent incident was regarded as mandatory. No recall of serious distress happening around the time immediately before the discovery of the bruising

The LPA interviewed R1's bus driver(contracted for transport but not an employee of the facility and outside of the departments review) who reported R1 does specific behaviors that may have resulted in the pattern bruising, but did not recall serious distress immedately before the discovery of the bruising.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Noel Wolf Petersen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
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 2
Control Number 27-AS-20251019203431
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: REACH ADULT DEVELOPMENT INC.
FACILITY NUMBER: 342701459
VISIT DATE: 12/18/2025
NARRATIVE
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LPA interviewed three residents with direct proximity to R1, none report serious distress from R1 around the time immediately before the discovery of the bruising.

LPA notes it was learned the bruising happened over several days, including a weekend where R1 was not being observed by the facility or the bus driver, by the account of R1's mother.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No citation was issued, a copy of the report was read and given to the staff. An exit interview was conducted.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Noel Wolf Petersen
LICENSING EVALUATOR SIGNATURE:

DATE: 12/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2