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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604203
Report Date: 03/18/2024
Date Signed: 03/18/2024 04:18:43 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
01/04/2024 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20240104143937
FACILITY NAME:BEST STRAWBERRY RCFFACILITY NUMBER:
374604203
ADMINISTRATOR:HILTON, JAZMINFACILITY TYPE:
735
ADDRESS:10332 STRAWBERRY LANETELEPHONE:
(619) 501-7785
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:4CENSUS: 3DATE:
03/18/2024
UNANNOUNCEDTIME BEGAN:
02:45 PM
MET WITH:Susana Maza, Caregiver and
Sandra Campbell, Staff 		TIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unexplained client injuries
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Tiffany Holmes conducted a complaint visit to close out the investigation. LPA was greeted at the front door by Susana Maza, caregiver and was granted entry after identifying herself and disclosing the reason for her visit. Staff Sandra Campbell arrived during the visit.
It was alleged that the client had unexplained injuries. Interviews revealed there are no clients that have any unexplained injuries. Client 1 (C1) has a seizure disorder and usually falls when they are having a seizure if they are standing up. Interviews revealed that this can cause a bruise or two. Interviews revealed there were no complaints of staff hitting them or them observing staff hit a client. Interviews also revealed no staff verbally abused client(s). Interviews revealed that C1 has Self Injurious Behaviors(SIB) frequently and will usually hit or scratch themself. Interviews with outside sources stated they were aware of the bruise by C1s eye and it was not because of staff hitting the cleint, it was from the client and their SIB. The allegation of client had unexplained injuries is unsubstantiated.
An exit interview was conducted with Sandra Campbell A copy of t.his report and Licensee Appeal rights were provided at the conclusion of the visit
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2024
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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