374602093-4-27-2025-18-AS-RORN-DGELHX-20250506084701

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602093
Report Date: 04/27/2025
Date Signed: 04/27/2025 09:28:38 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 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
05/01/2024 and conducted by Evaluator Deborah Lee

COMPLAINT CONTROL NUMBER: 18-AS-20240501134651

FACILITY NAME:	ALTA II		FACILITY NUMBER:	374602093
ADMINISTRATOR:	CHRISTINA GRUBBS		FACILITY TYPE:	735
ADDRESS:	1337 ALTA VISTA DRIVE		TELEPHONE:	(760) 941-0919
CITY:	VISTA	STATE: CA	ZIP CODE:	92084
CAPACITY:	6	CENSUS: 5	DATE:	04/27/2025
		UNANNOUNCED	TIME BEGAN:	09:17 AM
MET WITH:	Zoe Wilson		TIME COMPLETED:	09:45 AM

ALLEGATION(S):

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Facility staff physically abused client.

INVESTIGATION FINDINGS:

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On 4/26/25, the California Department of Social Services Community Care Licensing (CDSS/CCL) Licensing Program Analyst (LPA) Deborah Lee conducted a subsequent complaint visit for the purpose of continuing investigation and to deliver findings. LPA Lee met with Zoe Wilson Administrator who assisted with this visit.

Investigation consisted of
On 4/10/25-4/21/25, LPA obtained (via email) and reviewed the following documents: Staff roster (dated 4/9/25), Client roster (no date), Clients Rights Training (dated 4/2/25) ProAct (de-escalation crisis training) certificates (dated: 11/17/24, 8/17/24, 6/30/24, C1-C5’s Admission Agreements (dated 4/8/24, 3/19/21, 5/1/12, 8/30/10, 7/6/05), C1’s Unusual Incident Report (dated 4/29/24), facility weekly shift schedule (dated 4/25-5/1/2024).

On 4/18/25 and 4/21/25, LPA Lee conducted telephone interviews with 5 staff (S2-S6) and Administrator Wilson. LPA Lee could not interview S1 as he no longer works at the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2025

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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Control Number 18-AS-20240501134651

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: ALTA II	FACILITY NUMBER: 374602093
	VISIT DATE: 04/27/2025

NARRATIVE

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On 4/26/25 LPA Lee and Administrator Wilson toured the facility inside and out conducted interviews with 4 clients (C1 -C4).

Investigation revealed the following:

Allegation: Facility staff physically abused client.

The details of the complaint allege that on 4/29/24, a staff member twisted client’s arm while client was having a behavior episode during transportation to the program.

On 4/15/25, LPA Lee conducted a telephone interview with Zoe Wilson, Administrator (A1), who denied the allegation stating that on the day 4/29/24, S1 was not working that day; S1 was scheduled off to complete Direct Service Professional (DSP) training.

On 4/18/25 and 4/21/25 LPA Lee conducted telephone interviews with 5 staff (S2-S6). 5 out of 5 staff denied the allegation stating that staff has never physically harmed a client in any way and that staff use de-escalation techniques when needed.

On 4/22/2025, LPA Lee conducted a review of C1’s Unusual Incident Report (dated 4/29/24) and facility weekly shift schedule (dated 4/25/2024-5/1/2024) which confirms that S1 was not on schedule the day of alleged incident.

Based on LPA’s interviews and records reviewed, the preponderance of the evidence has not been met, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the allegation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies were cited for the above allegation. Exit interview was conducted. A copy of this report was provided to Zoe Wilson, Administrator.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Deborah Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 04/27/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/27/2025

LIC9099 (FAS) - (06/04)

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