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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397005660
Report Date: 04/11/2025
Date Signed: 04/11/2025 09:53:40 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
04/01/2025 and conducted by Evaluator Kesha Lewis
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250401151432
FACILITY NAME:NEW VISION SERVICES INC. SOUTHFACILITY NUMBER:
397005660
ADMINISTRATOR:TANYA SLOANFACILITY TYPE:
735
ADDRESS:702 SCOOTER WAYTELEPHONE:
(209) 851-8591
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:6CENSUS: 5DATE:
04/11/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Tressa Ward TIME COMPLETED:
10:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff did not properly supervise client resulting in elopement
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 04/11/25, Licensing Program Analyst (LPA) Kesha Lewis arrived unannounced to open a complaint investagation for the allegation. LPA met with staff explained the purpose of the visit.

LPA reviewed R1'S file including Physions report interviewed S1 LPA also recieved premmision from adminstraitor TANYA SLOAN for staff to sign for report. Based on interviews with staff and records reviewed R1 is able to leave the facility unassisted and enter the community as they want. The allegation of Facility staff did not properly supervise client resulting in elopement is UNSUBSTANTIATED.

The complaint is determined to be UNSUBSTANTIATED. As a result, there is not a preponderance of evidence standard for this allegation.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Kesha Lewis
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2025
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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