415601021-10-9-2024-14-AS-ACON-DA4USK-20241016155029

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415601021
Report Date: 10/09/2024
Date Signed: 10/09/2024 01:47:38 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/04/2024 and conducted by Evaluator Komal Charitra

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20241004161812

FACILITY NAME:	STRIDES INCLUSION CENTER		FACILITY NUMBER:	415601021
ADMINISTRATOR:	MOCK, RYAN		FACILITY TYPE:	775
ADDRESS:	355 GELLERT BLVD, STE 100		TELEPHONE:	(510) 342-6046
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94015
CAPACITY:	60	CENSUS: 27	DATE:	10/09/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator, Ryan Mock		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Staff drives unsafely with clients in the vehicle

INVESTIGATION FINDINGS:

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On October 9, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced 10-day complaint visit. LPA met with Administrator, Ryan Mock and explained the purpose of the visit.

Regarding the allegation, staff drives unsafely with clients in the vehicle, according to the reporting party, the driver for the day program drives aggressively with clients in the car, drives with no hands on the wheel, eats and watches YouTube while driving.

During the investigation LPA interviewed staff members. According to the administrator, it was acknowledged that Staff 1 (S1) does eat while driving and he/she has been written up for this issue. According to staff interviewed and S1, it was acknowledged that occasionally S1 does eat while driving but always has one hand on the wheel. In addition, it was indicated that S1 does have his/her phone playing, however S1 keeps an earbud in for background music. Although, S1 indicated he/she has never had an accident while driving for the day program, S1 is driving distracted and clients are not safe due to S1 eating while driving clients in the vehicle.

Therefore, the allegation, staff drives unsafely with clients in the vehicle is determined to be substantiated. Deficiencies of the California Code of Regulations, Title, 22 cited on the LIC9099-D. Failure to correct the deficiencies may result in civil penalties.

Report is reviewed with Administrator and a copy is provided with appeal rights.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Komal Charitra
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024

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 4

Control Number 14-AS-20241004161812

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: STRIDES INCLUSION CENTER	FACILITY NUMBER: 415601021
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 10/09/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/16/2024 Section Cited CCR 82072(a)(2)	1 2 3 4 5 6 7	82072 Personal Rights: (a) Each client shall have personal rights which include, but are not limited to, the following: (2) To be accorded safe, healthful and comfortable accommodations... to meet his/her needs. Violation of this regulation is not met as evidenced by:	1 2 3 4 5 6 7	Licensee/administrator shall ensure all day program drivers receive trainings regarding the importance of distracted driving and how to safely operate a vehicle with clients in the vehicle. In-service/any training documentation shall be submitted to CCL by 10/16/24.
	8 9 10 11 12 13 14		8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Komal Charitra
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/04/2024 and conducted by Evaluator Komal Charitra

PUBLIC

COMPLAINT CONTROL NUMBER: 14-AS-20241004161812

FACILITY NAME:	STRIDES INCLUSION CENTER		FACILITY NUMBER:	415601021
ADMINISTRATOR:	MOCK, RYAN		FACILITY TYPE:	775
ADDRESS:	355 GELLERT BLVD, STE 100		TELEPHONE:	(510) 342-6046
CITY:	DALY CITY	STATE: CA	ZIP CODE:	94015
CAPACITY:	60	CENSUS:	DATE:	10/09/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator, Ryan Mock		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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-Staff hits clients

INVESTIGATION FINDINGS:

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On October 9, 2024, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced 10-day complaint visit. LPA met with Administrator, Ryan Mock and explained the purpose of the visit.

Regarding the allegation, staff hits clients, according to the reporting party, there was one incident that occurred on October 1, 2024, where Staff 2 (S2) was teasing client 1 (R1) with money then took the money from R1 because he/she wanted to tear it and S2 hit R1 on the head and body with it, and there was another that occurred on October 2, 2024, where Staff 3 (S3) elbowed a client 2 (R2).

During the complaint investigation. LPA interviewed administrator, reviewed camera footage at the facility and interviewed staff. According to staff interviewed, including S2 and S3, they have never hit clients or has seen another staff member hit clients. Based on camera footage observed on October 1, 2024, LPA did not observe S2 hit any clients on the body or head with money. According to S2 and administrator, R1 has a behavior of tearing up money and S2 was practicing gradual exposure.

(Continue to 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Komal Charitra
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 14-AS-20241004161812

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

FACILITY NAME: STRIDES INCLUSION CENTER	FACILITY NUMBER: 415601021
	VISIT DATE: 10/09/2024

NARRATIVE

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Based on camera footage for October 2, 2024, LPA observed S3 by the lockers nudging at R2 because R2 was going through S3’s client's locker while assigned staff to R2 was just sitting at the table not redirecting R2. According to the administrator and S3, Staff 4 (S4) was assigned to R2 the day of the incident and allowed R2 to go through S3's client's locker without trying to redirect R2. When S3 came to the locker and called S4 to help, S4 would not help so S3 attempted to try to redirect R2 himself/herself. According to S3, due to R2 not listening, S3 gave R2 a nudge to ensure R2 would not touch other client's belongings, however S3 did not hurt R2.

The Department has investigated the above complaint allegation. Although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are determined to be unsubstantiated.

Report is reviewed with administrator and a copy is provided.

SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Komal Charitra
LICENSING EVALUATOR SIGNATURE:	DATE: 10/09/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/09/2024

LIC9099 (FAS) - (06/04)

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