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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374600838
Report Date: 12/23/2022
Date Signed: 12/24/2022 08:29:05 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, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/16/2022 and conducted by Evaluator Liliana Silveira
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20220916162602
FACILITY NAME:NALAS RESIDENTIAL FACILITY #1FACILITY NUMBER:
374600838
ADMINISTRATOR:HUBER BARQUEROFACILITY TYPE:
735
ADDRESS:1926 OLIVEBROOK CT.TELEPHONE:
(619) 401-5247
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:6CENSUS: 6DATE:
12/23/2022
UNANNOUNCEDTIME BEGAN:
04:50 PM
MET WITH:Luis G. Alpizar, CaregiverTIME COMPLETED:
05:15 PM
ALLEGATION(S):
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Staff handled client in a rough manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Liliana Silveira conducted a complaint investigation visit to deliver findings for the above-mentioned allegation. LPA Silveira met with Caregiver Luis G. Alpizar and shared the findings.

The Department’s investigation consisted of observations, interviews and records review. On 09/16/22, it was alleged that staff handled Client #1 (C1) in a rough manner. On 09/15/22 facility staff assisted C1 to exit a vehicle due to C1 having a behavioral episode. A records review and interviews with staff and outside sources revealed that at times, C1 had behavioral episodes when exiting vehicles. The records review and interviews with staff also revealed that staff had taken the required trainings and were familiar with proper techniques to assist C1 during behavioral episodes.

Interviews with outside sources revealed that while it was observed that facility staff implemented techniques to assist C1 with exiting the vehicle, there was not enough evidence to determine that the client was handled in a rough manner. (Continued on LIC 9099-C).
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2022
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 08-AS-20220916162602
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: NALAS RESIDENTIAL FACILITY #1
FACILITY NUMBER: 374600838
VISIT DATE: 12/23/2022
NARRATIVE
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Interviews with outside sources also revealed that there are currently no health or safety concerns with the treatment of clients at this facility.

Due to lack of corroborating evidence, the findings regarding the above allegation were established to be unsubstantiated. This finding means that although the allegation may have happened or could be valid, there is not a preponderance of evidence to prove that the alleged violation occurred.

LPA Silveira conducted an exit interview with Luis. At the time of the exit interview Luis was provided with a copy of the Complaint Investigation Report (LIC9099) and Licensee Rights (LIC9058 01-2016) and signature on this report acknowledges receipt of the rights.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Liliana Silveira
LICENSING EVALUATOR SIGNATURE:

DATE: 12/23/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/23/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2