425800283-7-29-2026-29-AS-KBUY-DWG5LD-20260729200258

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 425800283
Report Date: 07/29/2026
Date Signed: 07/29/2026 10:50:41 AM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
06/04/2026 and conducted by Evaluator Mark Jeffries

COMPLAINT CONTROL NUMBER: 29-AS-20260604105038

FACILITY NAME:	MOMENTUM WORK, INC. SANTA MARIA DAY PROGRAM		FACILITY NUMBER:	425800283
ADMINISTRATOR:	JUDY LINARES		FACILITY TYPE:	775
ADDRESS:	3070 SKYWAY DR STE 104 & 105		TELEPHONE:	(805) 566-9000
CITY:	SANTA MARIA	STATE: CA	ZIP CODE:	93455
CAPACITY:	105	CENSUS: 82	DATE:	07/29/2026
		UNANNOUNCED	TIME BEGAN:	08:24 AM
MET WITH:	Day Program Director, Carry Andrade		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Staff consumed alcohol and drugs during work hours, impairing their ability to provide adequate care and supervision, which presents a risk to clients in care.

INVESTIGATION FINDINGS:

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At 8:30am on 0729/2026, licensing Program Analyst (LPA) Jeffries arrive unannounced to the facility to issue final findings to the allegation to this complaint. LPA met with Day Program Director, Carry Andrade (PD), announced who he is and the reason for the visit. The final finding to the allegation to this complaint are as follows:
As to the allegation of, “Staff consumed alcohol and drugs during work hours, impairing their ability to provide adequate care and supervision, which presents a risk to clients in care.” It was alleged that staff on the facility consume alcohol and marijuana during working hours. Additionally, it was alleged that on 06/02/2026, staff 1 (S1) consumed an alcoholic drink and drove clients in a company vehicle on an outing. It was discovered through documentation, interviews and photographic evidence that on 06/04/2026 Licensing Program Analyst (LPA) Jeffries conducted interviews with facility Director of Day Program Operations, Carry Andrade (PD), who stated that the facility was aware of the allegation and had started a facility internal investigation into the allegation of S1 drinking while driving clients on 06/02/2026. CONTINUED on LIC9099-C

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026

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-20260604105038

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: MOMENTUM WORK, INC. SANTA MARIA DAY PROGRAM	FACILITY NUMBER: 425800283
	VISIT DATE: 07/29/2026

NARRATIVE

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PD stated that both Staff assigned (S1 and S2) to the facility van on 06/02/2026, where the open container of alcohol was found, were sent for independent drug and alcohol screening on the morning of 06/03/2026, the day after the open container was found in the facility van. LPA noted that independent lab test results were furnished to the LPA by the facility which indicated that testing of S1 and S2 on 06/03/2026 showed 0.00 level for alcohol and marked negative as to results on independent alcohol screening. Additional drug panel screening from 06/03/2026 showed “negative” to all 10 different drugs tested for both S1 and S2. PD stated that GPS tracking shows the facility van assigned and driven by S1 on 06/02/2026 stopped at 459 W Teft Street, Nipomo, CA 93444 (Stop and Buy Liquor and Gas Station) at 10:27am. On 06/04/2026, LPA conducted interviews with S1 and S2 who both stated that on 06/02/2026 they had stopped at Stop and Buy Liquor and Gas Station to buy chips and energy drinks. Both S1 and S2 deny buying any alcohol at this location. Both S1 and S2 stated that clients in care did not buy any alcohol to their knowledge at this location. On 06/04/2026, LPA conducted an interview with Day Program Director of Operations, Steven Hernandez (DPO) who stated that he had discovered the open container in the facility van on 06/02/2026. LPA was provided a picture of the open container in the van. LPA noted that the empty open container of alcohol was round in shape and inside a black plastic bag when discovered in the facility van, both unique in this context. On 06/04/2026, LPA arrived to the Stop and Buy Liquor and Gas Station in Nipomo and verified that the round in shape alcohol container that was found in the facility van was also sold at the Stop and Buy Liquor and Gas Station, additionally, LPA noted that the bags at Stop and Buy Liquor and Gas Station were also the same black plastic bag that the open container in the van was found. On 06/04/2026 LPA attempted to conduct interviews with Clients 1 and 2 (C1 and C2). LPA was unable to determine from clients any knowledge of alcohol being present or consumed in the van on 06/02/2026 client interviews. Based on interviews and documentation of independent lab results there is not enough evidence at this time to support the allegation of staff consuming drugs or alcohol, however, S1 and S2 having been assigned to provide supervision, that includes transpiration of clients in care should have been aware of the open container of alcohol under the California Vehicle Code Section 23222(a) open container law which poses potential risk to clients in care and does impair their ability to provide adequate care and supervision, which presents a risk to clients in care. and therefore the allegation of, “Staff consumed alcohol and drugs during work hours, impairing their ability to provide adequate care and supervision, which presents a risk to clients in care.”, is substantiated at this time.
Exit interview, report read, appeal rights and report provided.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026

LIC9099 (FAS) - (06/04)

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Control Number 29-AS-20260604105038

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: MOMENTUM WORK, INC. SANTA MARIA DAY PROGRAM	FACILITY NUMBER: 425800283
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 07/29/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type A 07/30/2026 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, furnishings and equipment to meet his/her needs. This right was met not by evidence of open alcohol container	1 2 3 4 5 6 7	Administrator agrees to reformulate check-in and check-out van procedures and add as an addendum to the facility's plan of operation and submit van procedure to LPA by email not later than 07/30/2026.
	8 9 10 11 12 13 14	found in facility van that was used on client outing, which poses imminent danger to clients in care.	8 9 10 11 12 13 14
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISOR'S NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:	DATE: 07/29/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2026

LIC9099 (FAS) - (06/04)

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