<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 425801165
Report Date: 09/30/2024
Date Signed: 09/30/2024 01:51:44 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 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
08/29/2024 and conducted by Evaluator Brian Phillips
COMPLAINT CONTROL NUMBER: 29-AS-20240829105037
FACILITY NAME:BAUER RESIDENTIAL SANTA MARIA IFACILITY NUMBER:
425801165
ADMINISTRATOR:CLINTON CADLEFACILITY TYPE:
735
ADDRESS:943 SUNRISE DRIVETELEPHONE:
(805) 934-1089
CITY:SANTA MARIASTATE: CAZIP CODE:
93455
CAPACITY:4CENSUS: 4DATE:
09/30/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Clinton Cadle, AdministratorTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff hit resident causing injury
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 09/30/2024, Licensing Program Analyst (LPA) Brian Phillips conducted an unannounced subsequent complaint investigation visit to the facility above to deliver final findings for the above allegation. During today’s visit, LPA Phillips met with Administrator Clinton Cadle and explained the reason for the visit.

On the allegation: Staff hit resident causing injury. It is alleged that a staff member of the facility above physically assaulted a client in care by punching the client in the face. Allegedly the client was punched in the face for touching the staff member’s wig. According to the allegation, the facility covered this incident up by reporting to all Agencies that the client had a fall causing injury.

On 08/29/2024 and 09/16/2024, LPA conducted complaint investigation visits to the facility above. During these visits, LPA conducted interviews with both staff and residents, as well as received relevant facility documentation pertinent to the allegation above. LPA requested and received documented facility daily progress notes from the date of the alleged incident. Continued on 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Brian Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
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 2
Control Number 29-AS-20240829105037
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
WOODLAND HILLS NORTH, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: BAUER RESIDENTIAL SANTA MARIA I
FACILITY NUMBER: 425801165
VISIT DATE: 09/30/2024
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
According to facility daily progress notes, C1 had an accident after returning to the facility from their Adult Day Program (ADP). When C1 exited the facility transportation van in the garage of the facility, they accidentally trapped their seatbelt around their body as they exited the vehicle causing them to trip and fall forward out of the van. Staff attempted to assist C1 as they fell into an extra freezer in the garage of the facility which stored extra/emergency perishable food for clients. After the accidental fall by C1, they did not show any sign of bruising immediately or any discomfort. Within three (3) hours of the accident, C1 had begun to show discoloration around their eye. LPA additionally requested and received documented communication between the facility above and the ADP of C1 during and after the date of the incident in question. The documented facility communication with the ADP stated that C1 had an accident coming out of the facility van as their feet got caught in the seat belt causing a fall. The ADP responded by stating C1 was in a good mood to attend the program and did not show signs of discomfort nor dispute the facility statement of facts about the incident. All LPA interviews with facility staff, clients, and credible witnesses from outside the facility all corroborate the events stated by the facility on the date of the incident. The facility had provided a photograph to the Department of the injuries to C1 at the time of the incident in care. A majority of the staff members at the facility interviewed by LPA on 08/29/2024 and 09/16/2024 stated that they believed an allegation of staff physically abusing a client at the facility was being falsely reported to the Department due to internal divisions/grudges between certain Staff members at the facility and previous divisions between staff, relatives of staff, and significant others of staff at various facilities run by the Licensee.

Based on the information gathered, there is insufficient evidence to prove the alleged violation occurred. Therefore, the allegation is Unsubstantiated.

Exit interview conducted. Copy of this report provided to the facility.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Brian Phillips
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2