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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366426118
Report Date: 08/14/2023
Date Signed: 08/14/2023 10:53:42 AM

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
07/06/2023 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20230706142540
FACILITY NAME:FIRST STEP FONTANAFACILITY NUMBER:
366426118
ADMINISTRATOR:VISOR, MARYFACILITY TYPE:
775
ADDRESS:8621 JUNIPER AVE STE 101TELEPHONE:
(909) 428-6201
CITY:FONTANASTATE: CAZIP CODE:
92335
CAPACITY:60CENSUS: 57DATE:
08/14/2023
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Chantal SmithTIME COMPLETED:
11:10 AM
ALLEGATION(S):
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Staff hit clients in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegation listed above. LPA met with Program Manager Chantal Smith and explained the purpose of the visit. The investigation consisted of staff and resident’s interviews.

First allegation: Staff hit clients in care.

Regarding the first allegation, Staff hit clients in care. LPA Guerrero conducted in-person interviews with Client #1, Client #2, and Client #3, all clients denied being hit by Staff #1 (S1), while in care. LPA asked Client #1-3 if they ever witnessed Staff#1 hit other clients while in care. Client #1, Client #2, and Client #3 all stated that they have not witnessed Staff#1 hit clients in care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2023
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-20230706142540
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: FIRST STEP FONTANA
FACILITY NUMBER: 366426118
VISIT DATE: 08/14/2023
NARRATIVE
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LPA interviewed Staff #2, Staff #3 and Staff #4 and asked if they ever witnessed Staff #1 hit client[s] while in care; Staff #2, Staff #3, and Staff #4 stated that they have not witnessed Staff #1 hit client[s] while in care. Due to a lack of information, the above allegation is deemed UNSUBSTANTIATED at this time.

Unsubstantiated; meaning that 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.

An exit interview was conducted where this report was discussed and provided to Program Manager Chantal Smith
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2