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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604207
Report Date: 07/18/2025
Date Signed: 07/18/2025 01:34:52 PM

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
06/14/2021 and conducted by Evaluator Donna Teutschel
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20210614134145
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:
07/18/2025
UNANNOUNCEDTIME BEGAN:
10:25 AM
MET WITH:Cherifer Manipone-Program DirectorTIME COMPLETED:
10:26 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9

Direct care staff do not have required qualifications.
Licensee did not follow the facility's plan of operation.
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.
RP claims "direct care staff do not have required qualifications" for 6 out of 15 staff who did not have the required Registered Behavior Technician certifications within 12 months from date of hire did not provide names of these staff. Additionally, RP alleges there was insufficient hours documented for the facility's behavior modification professional (BMP) which should be a minimum 20 hours per week and differs from Title 22 regs Section 89965(e) which states BMP's to provide a minimum of 6 hours per month per client. Based on the information collected to date, the Department is unable to prove or disprove this allegation. the RP failed to provide specifics of the Department's approved plan of operation on file with the Department that is not being followed.

Both allegations are deemed Unsubstantiated.

Licensing Report emailed to Program Director: CHERIFER.MANIPONE@LIBERTYHEALTH.COM

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stacy Barlow
LICENSING EVALUATOR NAME: Donna Teutschel
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025
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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