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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361881052
Report Date: 03/24/2022
Date Signed: 03/24/2022 12:34:33 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/22/2022 and conducted by Evaluator Javier Prieto
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20220322140319
FACILITY NAME:VIEW CREST HOMEFACILITY NUMBER:
361881052
ADMINISTRATOR:CARR, ERICA SHARDEFACILITY TYPE:
735
ADDRESS:17641 VIEW CREST COURTTELEPHONE:
(818) 309-7821
CITY:VICTORVILLESTATE: CAZIP CODE:
92395
CAPACITY:4CENSUS: 4DATE:
03/24/2022
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Erica CarrTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident was threaten by staff.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding allegations that a resident was threaten by staff. LPA Prieto met with administrator Erica Carr. Carr states at resident #1 (R1) in question was interviewed with Inland Regional Center (IRC) staff (S2) and facility staff (S1) prior to LPA visit and R1 could not confirm that R1 was threatened by staff (S1) in question. S1 states no threats were ever made to R1. IRC staff (S2) states that during interview with R1, R1 could not confirm that a threat was made by staff in care. S2 offered R1 the opportunity to be removed from the facility if there was fear or threats made, which R1 refused to be removed from the facility. R1 was at the facility at time of complaint visit. LPA Prieto interviewed R1, who stated that he does not feel threaten living in the home and wishes to continue living at the facility.
Based on the information obtained there is not enough evidence that resident was threatened by staff. Therefore, the allegation deemed UNSUBSTANTIATED at this time. 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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 03/24/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2022
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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