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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604207
Report Date: 07/11/2025
Date Signed: 07/11/2025 11:51:30 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRALIZED APP UNIT, 744 P STREET, MS 9-14-8201
SACRAMENTO, CA 95814
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/16/2021 and conducted by Evaluator Donna Teutschel
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20210416143413
FACILITY NAME:LIBERTY HARMONYFACILITY NUMBER:
374604207
ADMINISTRATOR:WEBB, IVYFACILITY TYPE:
737
ADDRESS:2915 DUCK POND LANETELEPHONE:
(760) 975-7176
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY:4CENSUS: DATE:
07/11/2025
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Program Director-Cherifer ManiponTIME COMPLETED:
11:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Lack of supervision resulted in client altercation.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPM II RA, Donna Teutschel conducted a telephone interview with Program Director, Cherifer Manipon..

Based upon a review of the 4/11/21 incident involving C1 and C2, it was found that although this assault did occur where C1 grabbed C2's hair and slapped her in the face as a result of C2 provoking C1 by caling her names like "fat cow" and making mooing sounds. this occurred in the facility living room with staff present. Ramona Sheriff responded, case #21115078. However, there is insufficient evidence to support that any staff lack of supervision or negligence occurred. or that the incident could have been mitigated. the Department is unable to prove or disprove the above allegation and the finding is determined to be Unsubstantiated.


Licensing Report Emailed to Program Director: CHERIFER.MANIPON@LIBERTYHEALTH.COM
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stacy Barlow
LICENSING EVALUATOR NAME: Donna Teutschel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/11/2025
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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