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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 366402294
Report Date: 07/31/2023
Date Signed: 07/31/2023 10:54:51 AM

Document Has Been Signed on 07/31/2023 10:54 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:COLE VOCATIONAL SERVICES VICTORVILLEFACILITY NUMBER:
366402294
ADMINISTRATOR:COX, BRANDONFACILITY TYPE:
775
ADDRESS:16519 VICTOR STTELEPHONE:
(760) 962-9111
CITY:VICTORVILLESTATE: CAZIP CODE:
92392
CAPACITY: 120CENSUS: 98DATE:
07/31/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Samien Hires- Program ManagerTIME COMPLETED:
10:56 AM
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Licensing Program Analyst (LPA) Michelle Echeverrria conducted an unannounced case management visit to follow up on an incident report sent to licensing dated on 04/14/23. The incident involved a staff (S1) who witnessed another staff (S2) receiving money from a client (C1) to purchase lunch. LPA was greeted and explained the reason for the visit to Program Supervisor, Tara Ponting who phone called Program Manager, Samien Hires to inform him about the visit and attendance needed.

During today's visit, it was discovered that (S2) admitted to receiving money from (C1) to buy lunch on multiple occasions. (S2) was placed on an unpaid administrative leave effective 4/17/23 and terminated on 05/01/23. Refresh training on Handling PBS money/receipts was given to staff on 04/27/23. At the moment, the facility is in the process of figuring out the total amount (C1) gave to (S2) for lunch through out the multiple occasions. LPA toured the facility, reviewed files, interviewed client and staff.

No deficiencies were observed during this visit. An exit interview was conducted where this report was, reviewed, discussed and then provided to Program Manager, Samien Hires.
SUPERVISORS NAME: Nedra Brown
LICENSING EVALUATOR NAME: Michelle Echeverria
LICENSING EVALUATOR SIGNATURE: DATE: 07/31/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 07/31/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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