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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603485
Report Date: 12/19/2023
Date Signed: 12/20/2023 08:29:44 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, 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
10/27/2020 and conducted by Evaluator Natasha Persaud
COMPLAINT CONTROL NUMBER: 08-AS-20201027090536
FACILITY NAME:VILLA SAN FRANCISCOFACILITY NUMBER:
374603485
ADMINISTRATOR:ELIZABETH ENRIQUEZFACILITY TYPE:
735
ADDRESS:734 RIVERLAWN AVETELEPHONE:
(619) 500-5356
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:4CENSUS: 4DATE:
12/19/2023
UNANNOUNCEDTIME BEGAN:
10:40 AM
MET WITH:Administrator, Elizabeth EnriquezTIME COMPLETED:
11:16 AM
ALLEGATION(S):
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Licensee did not ensure clients are supervised at all times

INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA), Natasha Persaud conducted a visit to conclude the complaint investigation regarding the above mentioned allegation. LPA met with Administrator, Elizabeth Enriquez.

During the investigation, records were reviewed, and interviews conducted with staff and clients. It was alleged that the clients are not supervised at all times. It was reported the clients are screaming and staff leave in the middle of the night, leaving the residents alone. The allegation was reported with a client’s name, that does not reside at the facility. Staff interviews confirmed the clients are never left unsupervised; staff are always present. Client interviews confirmed staff are present and they are supervised. A review of facility records indicated staff shifts were covered. Further investigation revealed some clients yell due to their behaviors. The clients are monitored by staff and a behaviorist. Additional staff interviews confirmed certain clients yell and there is one client that yells at night. The nighttime shift will sit with the client that yells until they calm down. Continued on LIC 9099C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
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 08-AS-20201027090536
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: VILLA SAN FRANCISCO
FACILITY NUMBER: 374603485
VISIT DATE: 12/19/2023
NARRATIVE
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Evidence obtained confirmed the clients were supervised at all times.

During the course of the investigation, interviews were conducted, and records were reviewed. Investigation revealed inconsistent statements and information obtained did not present a preponderance of evidence to support or corroborate the allegation. The allegation was deemed unsubstantiated. An exit interview was conducted and a copy of this report along with the Licensee Rights (LIC 9058 03/22) was provided to Administrator, Elizabeth Enriquez whose signature below confirms receipt of these rights.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Natasha Persaud
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2