405801714-9-26-2025-29-AS-KBUY-DLYS7J-20250929133737

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 405801714
Report Date: 09/26/2025
Date Signed: 09/26/2025 09:58:38 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/20/2025 and conducted by Evaluator Melisa Rankin

COMPLAINT CONTROL NUMBER: 29-AS-20250820071748

FACILITY NAME:	BAUER RESIDENTIAL-NIPOMO		FACILITY NUMBER:	405801714
ADMINISTRATOR:	SHIRLET HALLIDAY		FACILITY TYPE:	735
ADDRESS:	890 PROSPERITY WAY		TELEPHONE:	(805) 929-5758
CITY:	NIPOMO	STATE: CA	ZIP CODE:	93444
CAPACITY:	4	CENSUS: 3	DATE:	09/26/2025
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Shirlet Halliday		TIME COMPLETED:	10:10 AM

ALLEGATION(S):

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Staff physically abused client while in care
Staff verbally abused client while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rankin conducted a subsequent complaint visit to issue final findings on this investigation. LPA met with Shirlet Halliday and explained the purpose of the visit.

During the investigation, LPA conducted an initial visit on 8/20/2025, where LPA conducted an interview with an administrator and a staff member and obtained relevant documents. On 8/20/25 LPA also conducted a Case Management Collateral Visit to C1’s Day Program to observe interviews conducted by Miguel Magana, Quality Assurance Specialist (QAS), of Tri Counties Regional Center (TCRC). LPA obtained copies of photographs showing Client 1 (C1) with injuries, incident reports, conducted interviews on 8/20/25, 9/10/25, 9/17/25, 9/18/25 with 6 facility staff and 2 day program staff on 8/20/25.

On the allegation: Staff physically abused client while in care and Staff verbally abused client while in care
It was alleged that Client 1 (C1) sustained lacerations and bruises as a result of physical abuse by Staff 1 (S1). It was also alleged that female staff verbally abused C1. Upon notification of the suspected abuse, the facility immediately removed S1 from their scheduled shifts pending investigation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Melisa Rankin
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025

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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Control Number 29-AS-20250820071748

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS N.ASC, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: BAUER RESIDENTIAL-NIPOMO	FACILITY NUMBER: 405801714
	VISIT DATE: 09/26/2025

NARRATIVE

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The QAS and LPA conducted multiple interviews with facility staff via phone calls and in person, 2 day program staff, and the facility administrator. According to consistent statements from these interviews and documentation in the progress notes, it is believed by the facility staff that C1 sustained injuries while at the day program during an incident involving food-seeking behavior in a trash can.

During a collateral visit, a copy of the Tri-Counties Regional Center Vendor Incident Report was reviewed. The report, dated 8/11/25, described an incident in which C1 ran toward a trash can and was scratched on the right cheek by a box. LPA reviewed the facility’s Daily Progress Notes and body check documentation. On 8/13/25, an injury was noted near C1’s left eye and left forehead, specifically on the inner upper eyelid. Photographs show the eye bruising is only visible when C1’s eyebrow is lifted.

During the collateral visit to the day program, LPA observed C1 wearing a hoodie and walking with their head down. Program staff confirmed this is C1’s typical posture and reported noticing eye bruising on 8/18/25. It remains unclear whether the bruising was present during the prior week while C1 attended the program.

On the evening of 8/13/25, staff members independently reported that C1 was running around the facility and slipped on a rug in the common area, hitting their head on a small black cabinet used for video game storage. The injury was documented as being on the top of C1’s head. The facility administrator took C1 to the emergency room on 8/14/25 for evaluation. An incident report submitted to Licensing on 8/22/25 corroborates the staff statements.

An interview with C1 was not conducted due to C1 being non-verbal. An interview with the only other verbal client was also not conducted, as that client had been relocated due to their guardian’s concerns regarding C1’s behavior.
A copy of the police report was obtained. It stated that the injuries were “not consistent with being struck,” and the case was determined to be unfounded.

Based on record review, and interviews, the allegations may have happened, but there is not a preponderance of evidence, at this time, to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted and copy of report printed for facility.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Melisa Rankin
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2025

LIC9099 (FAS) - (06/04)

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