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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366424416
Report Date: 06/21/2024
Date Signed: 06/21/2024 11:34:08 AM

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
06/20/2024 and conducted by Evaluator Javier Prieto
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240620163112
FACILITY NAME:IN-ROADS CREATIVE PROGRAMS 2FACILITY NUMBER:
366424416
ADMINISTRATOR:ANGELICA GARCIAFACILITY TYPE:
775
ADDRESS:9057 ARROW ROUTE, #120/#130TELEPHONE:
(909) 989-9944
CITY:RANCHO CUCAMONGASTATE: CAZIP CODE:
91730
CAPACITY:45CENSUS: 15DATE:
06/21/2024
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Marelyn Lopez, AdministratorTIME COMPLETED:
11:45 AM
ALLEGATION(S):
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Staff left clients unattended.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegation. LPA Prieto met with administrator Lopez and explained the elements of the complaint.

Regarding the allegation that staff left clients unattended; LPA Prieto met with facility Administrator Lopez and Program Director Angelica Hill, who have investigated the alleged incident. Video footage, from facility cameras, show staff #1 (S1) taking clients to the transport car, parked in front of the facility. S1 then walked to the facility and back to transport for approximately 15 seconds. Administrator Lopez was able to see transport from her office video monitor to see that the clients were not in danger nor was any harm caused to the clients. ***continued on LIC 9099 C***
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
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 56-AS-20240620163112
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507
FACILITY NAME: IN-ROADS CREATIVE PROGRAMS 2
FACILITY NUMBER: 366424416
VISIT DATE: 06/21/2024
NARRATIVE
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Facility ratio was met during time if incident and today's investigation. The walk from transport to the facility and back did not pose any danger to the clients and the clients were being observed by the Administrator while the incident occurred to assure supervision was met. Program Director Hill has assured that re-training on the subject of "Supervision of Individuals" will be conducted during today's visit to all staff. The incident that occurred did not pose a danger to client's in care. Video footage, and Administrator interview, reveal that supervision of clients was met. A copy of the video footage was obtained during today's inspection.

Based on the information obtained there is not enough evidence that staff left clients unattended. Therefore, the allegation is deemed UNSUBSTANTIATED at this time. this report was signed by LPA Prieto and Administrator Lopez and a copy was left with the facility.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Javier Prieto
LICENSING EVALUATOR SIGNATURE:

DATE: 06/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2