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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397001860
Report Date: 06/20/2025
Date Signed: 06/20/2025 11:31:39 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
03/28/2025 and conducted by Evaluator Michael Bilger
COMPLAINT CONTROL NUMBER: 27-AS-20250328092241
FACILITY NAME:ALAN SHORT CENTERFACILITY NUMBER:
397001860
ADMINISTRATOR:MARGARITA GARCIAFACILITY TYPE:
775
ADDRESS:928 EAST ROSE STREETTELEPHONE:
(209) 948-5759
CITY:STOCKTONSTATE: CAZIP CODE:
95202
CAPACITY:105CENSUS: 25DATE:
06/20/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Margarita GarciaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Facility failed to provide supervision of resident in care
INVESTIGATION FINDINGS:
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On 6-20-2025 at 10:15am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver findings for the allegation noted above. LPA met with Administrator Margarita Garcia and explained the purpose of the visit. During this investigation, LPA conducted interviews with five staff members, one client in care, and one additional witness. LPA also reviewed facility file documentation including incident reports, individual program plan (IPP), physician’s report, functional capabilities assessment, staffing schedule, and staff file for staff4 (S4).
Based on interviews conducted , it was revealed that on 3-24-2025, R1 was participating in an activity when she needed to use the restroom. R1 used the restroom and came back to the activity, then 15 minutes later needed to use the restroom again. Staff5 (S5) who was providing supervision for R1 at the time, stated in an interview that she went to check on R1 within a “few minutes” and observed R1 pulling self up from toilet. When S5 inquired if R1 was ok, it was revealed R1 expressed anxiety and sadness through gestures, and while speaking in a non-english language. Additional staff assisted with translation.

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

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
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-20250328092241
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: ALAN SHORT CENTER
FACILITY NUMBER: 397001860
VISIT DATE: 06/20/2025
NARRATIVE
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In additional interviews, it was revealed that resident1 (R1) alleged that a staff member inappropriately touched her while in the bathroom. A facility staff member was identified and sent home as a precaution per facility protocol. Facility reported incident per regulatory requirements. A review of facility’s staffing schedule for 3-24-25 revealed appropriate staffing levels based on resident needs which includes four staff on duty as well as Administrator and assistant administrator to assist clients as needed. Facility file review indicates R1 is able to use bathroom and toilet self independently. Interviews conducted did not reveal any corroborated evidence, statements, or witnessing to indicate R1 was touched inappropriately by a staff member. Interviews further revealed varied accounts of the alleged incident.

As a result, there is a not a preponderance of evidence to conclude facility staff failed to provided supervision of a resident in care, therefore, this allegation is UNSUBSTANTIATED. An exit interview was conducted with Administrator and a copy of this report was provided. Appeal rights provided.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2