392700516-8-26-2024-27-AS-LRIS-D8ZSNN-20240911140148

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 392700516
Report Date: 08/20/2024
Date Signed: 08/26/2024 11:46:19 AM

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
05/22/2024 and conducted by Evaluator Albert Johnson

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20240522152021

FACILITY NAME:	DE TRIO HEALTH CARE		FACILITY NUMBER:	392700516
ADMINISTRATOR:	BONNER, WILLIAM		FACILITY TYPE:	735
ADDRESS:	905 W. MAGNOLIA		TELEPHONE:	(209) 639-5134
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95203
CAPACITY:	4	CENSUS: 4	DATE:	08/20/2024
		UNANNOUNCED	TIME BEGAN:	10:10 AM
MET WITH:	W. Bonner		TIME COMPLETED:	01:15 PM

ALLEGATION(S):

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Staff not allowing resident to speak with neighbors.
Staff had a concealed weapon.

INVESTIGATION FINDINGS:

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Allegation:Staff not allowing resident to speak with neighbors. Interviews with staff and residents did not provide the department with collaberated information that would substantiate residents not being allowed to talk to neighbors. Residents mentioned that at times they are in the front yard sitting on the porch and they talk to the neighbors residents interviewed confirmed that this happens daily. The staff interviewed stated that the neighbors will attempt to get information from the residents about what is happening in the house and the staff will tell the residents that some information is personal and that if the neighbors are interested in talking about the others in the house they should talk to the staff.

When staff were asked how they know what the neighbors are asking the residents about the staff stated that they asked the residents and the residents tell them. All staff interviewed denied telling the residents that they cannot talk to the neighbors.

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024

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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Control Number 27-AS-20240522152021

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: DE TRIO HEALTH CARE	FACILITY NUMBER: 392700516
	VISIT DATE: 08/20/2024

NARRATIVE

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Allegation: Staff had a concealed weapon. Residents interviewed stated that they had not seen the gun but were told by the staff that he carries a weapon. The residents could not describe what the weapon looked like nor could they say that they saw the weapon. All staff interviewed denied seeing or knowing about a weapon being carried by any staff member. One resident stated that he saw a bulge on the staff's side and assumed that it was a gun. This was not told to staff nor to administration.

This Department has investigated the complaint alleging the above allegation to be UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2024

LIC9099 (FAS) - (06/04)

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