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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 390308140
Report Date: 05/29/2025
Date Signed: 05/29/2025 02:37:29 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/10/2025 and conducted by Evaluator Michael Bilger
COMPLAINT CONTROL NUMBER: 27-AS-20250310090721
FACILITY NAME:CENTRAL VALLEY TRAINING CENTER, INC.FACILITY NUMBER:
390308140
ADMINISTRATOR:MICHAEL CARROLLFACILITY TYPE:
775
ADDRESS:7603 MURRAY DRIVETELEPHONE:
(209) 951-1504
CITY:STOCKTONSTATE: CAZIP CODE:
95210
CAPACITY:90CENSUS: 75DATE:
05/29/2025
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Michael CarrollTIME COMPLETED:
02:40 PM
ALLEGATION(S):
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Staff threatened resident
INVESTIGATION FINDINGS:
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On 5/29/2025 at 2:00pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver findings for the complaint allegation noted above. LPA met with program director Michael Carroll and explained the purpose of the visit. During this investigation, LPA conducted interviews with three staff members and attempted contact with resident1 (R1). Additionally, LPA reviewed facility file documentation including individual program plan (IPP) for R1, individual service plan (ISP) for R1, and physician’s report for R1. Based on evidence present, it was determined that in June 2024, R1 was attempting to buy items at a movie theater during an outing. R1 discovered that the movie theater did not accept his desired payment method and became upset. This resulted in R1 walking outside and acting in an aggressive manner which included attempting to get into cars parked on the street and attempting to hit staff with a metal object. This occurred as staff member was following R1 for safety precautions.

{Cont. on 9099C}
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
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 27-AS-20250310090721
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CENTRAL VALLEY TRAINING CENTER, INC.
FACILITY NUMBER: 390308140
VISIT DATE: 05/29/2025
NARRATIVE
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According to interviews conducted, it was revealed that during this episode a patient from a mental health clinic approached a staff member in a verbally aggressive, and threatening manner. Additional staff arrived shortly and successfully intervened. Based on additional interviews conducted, staff member followed R1 from a safe distance, and no hands-on techniques for de-escalating behavior were used. Additionally, interviews conducted did not result in corroborated statements of R1 being threatened by staff members.

As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Program Director and a copy of this report was provided. Appeal rights provided.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2