365530011-7-29-2025-56-AS-KCLS-DK4TQ2-20250731145513

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 365530011
Report Date: 07/29/2025
Date Signed: 07/29/2025 03:20:38 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/24/2024 and conducted by Evaluator Mary Rico

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20240724085453

FACILITY NAME:	BLU SKYYZ RESIDENTIAL CARE		FACILITY NUMBER:	365530011
ADMINISTRATOR:	KENNETH A LEONARD		FACILITY TYPE:	735
ADDRESS:	16251 NIGHT STAR CT		TELEPHONE:	(800) 680-1484
CITY:	FONTANA	STATE: CA	ZIP CODE:	92336
CAPACITY:	6	CENSUS: 0	DATE:	07/29/2025
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Administrator - La Tanya Hughes		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff does not provide adequate supervision to residents in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Administrator La Tanya Hughes and explained the purpose of the visit. The investigation consisted of staff interviews, client interviews and record reviews.

For the allegation, Staff does not provide adequate supervision to residents in care.During staff interview, 4 out of the 4 staff stated that they have not left C1 alone. In addition, 4 out 4 staff stated they would follow C1 and redirect C1 back to the facility. During client interviews, LPA Rico did not find evidence to collaborate the allegation. Based on the evidence found during the investigation, the one (1) allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to the Administrator La Tanya Hughes.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025

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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