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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 415601162
Report Date: 03/18/2025
Date Signed: 03/18/2025 11:57:35 AM

Document Has Been Signed on 03/18/2025 11:57 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BRUNO RO, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066
FACILITY NAME:SOCIAL VOCATIONAL SERVICES INC (SSF)FACILITY NUMBER:
415601162
ADMINISTRATOR/
DIRECTOR:		NAVARRO, CZARINAFACILITY TYPE:
775
ADDRESS:192 BEACON STREETTELEPHONE:
(650) 877-7255
CITY:SOUTH SAN FRANCISCOSTATE: CAZIP CODE:
94080
CAPACITY: 60CENSUS: 50DATE:
03/18/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
11:20 AM
MET WITH:Program Director, Jaimel CalanoTIME VISIT/
INSPECTION COMPLETED:
12:10 PM
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On March 18, 2025, Licensing Program Analyst (LPA) Murial Han conducted an unannounced Case Management - Health Checks to follow-up on an incident that was reported by the facility. LPA met with Program Director, Jaimel Calano and explained the purpose of today’s visit.

On March 12, 2025, the facility report that on March 11, 2025 staff #1 (S1) who witnessed a possible inappropriate conduct between staff #2 (S2) and resident #1(R1) in the library room.

During tody’s visit, the Program Director provided a tour of the facility and LPA observed the common area, quiet room, TV room, the library, and the kitchen where majority of the residents were participating in the St. Patrick's Day celebration.

The Program Director stated that R1 has not returned to the program since the incident was reported and the alleged staff has been placed on administrative leave and has yet returned.

LPA collected pertinent documents for further investigation.

No deficiency cited today.

This report is reviewed and discussed with the Program Director.

A copy is provided.
SUPERVISORS NAME: April Cowan
LICENSING EVALUATOR NAME: Murial Han
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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