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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604154
Report Date: 10/12/2023
Date Signed: 10/12/2023 03:53:59 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
10/09/2023 and conducted by Evaluator Dawn Segura
COMPLAINT CONTROL NUMBER: 08-AS-20231009145810
FACILITY NAME:PROVIDE SCH LLCFACILITY NUMBER:
374604154
ADMINISTRATOR:SALGADO, MARKFACILITY TYPE:
735
ADDRESS:7010 DELOS DRTELEPHONE:
(619) 773-6043
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:4CENSUS: 3DATE:
10/12/2023
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Mark Salgado, LicenseeTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff do not provide clients adequate food service.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced visit to commence a complaint investigation. LPA introduced herself, was granted entry into the facility, and met with Mark Salgado, Licensee, to whom LPA disclosed the reason for the visit. During the visit, LPA toured the facility and interviewed client and facility staff.

It was alleged that the facility does not provide adequate food service to clients in care. It was reported that clients are served the same thing every day and not served nutritious meals.

LPA observed that the facility maintains a variety of food items to prepare and serve to clients. According to interviews conducted, facility staff prepare a variety of foods, and the meals are balanced with food items from the food groups. LPA observation and interviews did not reveal any information to conclude that clients are not provided adequate meal service.

Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023
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-20231009145810
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: PROVIDE SCH LLC
FACILITY NUMBER: 374604154
VISIT DATE: 10/12/2023
NARRATIVE
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Based upon the foregoing, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Mark Salgado, Licensee, and a copy of this report and Licensee/Appeal Rights (LIC 9058) were provided to the licensee at the conclusion of the visit. His signature on this form acknowledges receipt of copies of the report and rights.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2