374603621-2-25-2026-08-AS-APAO-DSCAQL-20260320002542

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603621
Report Date: 02/25/2026
Date Signed: 02/25/2026 12:23:40 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
02/18/2026 and conducted by Evaluator Ramon Serrano

COMPLAINT CONTROL NUMBER: 08-AS-20260218161947

FACILITY NAME:	ACI		FACILITY NUMBER:	374603621
ADMINISTRATOR:	TAMARA ANDERSON		FACILITY TYPE:	775
ADDRESS:	296 H STREET, #101		TELEPHONE:	(619) 409-4100
CITY:	CHULA VISTA	STATE: CA	ZIP CODE:	91910
CAPACITY:	90	CENSUS: 55	DATE:	02/25/2026
		UNANNOUNCED	TIME BEGAN:	09:04 AM
MET WITH:	Administrator Tamara Anderson.		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Staff are not properly trained

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced complaint visit and also delivered complaint findings. LPA introduced himself and disclosed the purpose of the visit with Administrator Tamara Anderson.

Community Care Licensing (CCL) has investigated the above allegation. The investigation consisted of LPA observations, records review, interviews with staff and clients.

LPA conducted an investigation into the allegation that staff are not properly trained. During the investigation, LPA reviewed staff training records, including individual staff training files and program wide in-service training logs. The records showed that in-service trainings were conducted on 9/19/24, 10/8/25, and 11/12/25 on topics such as community folders, HCBS Final Rule, client interaction, morning routine expectations, community activity planning and goal support, on-site expectations and data documentation, injury observation, incident reporting procedures, and client care and hygiene.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2026

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 08-AS-20260218161947

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: ACI	FACILITY NUMBER: 374603621
	VISIT DATE: 02/25/2026

NARRATIVE

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LPA also reviewed several random staff files, which confirmed that all staff completed sexual harassment and abusive conduct prevention training between 2/17/26 and 2/20/26.

LPA interviewed Staff 1 (S1), who stated they believe they are properly trained. S1 reported that they receive trainings approximately every three to four months in areas such as client rights, sexual harassment, conservatorship, de escalation techniques, code switching, and CPR. LPA interviewed Staff 2 (S2), who also stated they feel adequately trained. S2 explained that when incidents occur, management provides follow up training on how to properly manage similar situations in the future.

LPA interviewed the Administrator (ADM). ADM stated that a few employees had recently resigned and expressed that the resignations may be connected to the complaint. ADM reported that staff receive regular trainings and that management recently responded to staff requests by providing additional sexual harassment training for all employees. LPA additionally interviewed the Program Manager (PM). PM stated that staff had recently been experiencing personality conflicts with one another, which negatively impacted morale among the day program staff. PM stated that management addressed these interpersonal issues, but some staff were dissatisfied because they did not “get their way,” and PM explained that management had to act in the best interest of the overall program.

PM further explained that, per their San Diego Regional Center vendorization, the program is not a “behavioral modification program” and does not have a behavioral component. PM stated that staff are not trained to work with individuals who have severe behavioral issues, and the program does not accept clients who are “behaviorally involved.” PM indicated that misunderstandings about the program’s scope and service model may have contributed to staff frustrations and the filing of the complaint.

Based on the information gathered through staff interviews, administrator and program manager statements, and review of training documentation, there was insufficient evidence to support the claim that staff are not properly trained. Although the allegation may have occurred or may be valid in part, there is not a preponderance of evidence to prove the alleged violation occurred. Therefore, the allegation is unsubstantiated. An exit interview was conducted with Administrator Tamara Anderson. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Administrator Tamara Anderson, whose signature below verifies receipt of these rights.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Ramon Serrano
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2026

LIC9099 (FAS) - (06/04)

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