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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202261
Report Date: 02/29/2024
Date Signed: 03/01/2024 08:15:37 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/06/2022 and conducted by Evaluator Grace Donato
PUBLIC
COMPLAINT CONTROL NUMBER: 26-AS-20220906151837
FACILITY NAME:MISSION BAY LAS COLINASFACILITY NUMBER:
435202261
ADMINISTRATOR:MARIA COKERFACILITY TYPE:
775
ADDRESS:50 LAS COLINAS LANETELEPHONE:
(408) 661-4883
CITY:SAN JOSESTATE: CAZIP CODE:
95119
CAPACITY:177CENSUS: 174DATE:
02/29/2024
UNANNOUNCEDTIME BEGAN:
09:21 AM
MET WITH:Dennis MiclatTIME COMPLETED:
10:45 AM
ALLEGATION(S):
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Staff are mishandling the clients while in care
INVESTIGATION FINDINGS:
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On 2/29/24, Licensing Program Analyst (LPA) Grace Donato conducted an unannounced visit to deliver findings for the above allegation. LPA met with Program Director Dennis Miclat. LPA explained the purpose of the visit.

Regarding the allegation of staff are mishandling the clients while in care, the Reporting Party (RP) stated that the employees at the facility were abusing their non-verbal clients.

LPA Heberle conducted interviews with staff members and four out of four mentioned that they haven’t seen clients being mishandled in the facility. A staff member, S1, stated that they use verbal redirection when clients are exhibiting behaviors. Another, S2, also stated that they have never known the facility to use physical redirection with any clients and do not have any recollection of any instances where clients complained about clients or staff laying hands on them. LPA also interviewed three clients. C1 mentioned that they have never seen staff get physical with clients. Staff mostly just tell clients to calm down when they are engaging in behaviors. Another client, C2, stated that some of the clients get angry and scream and pound stuff, so staff tells them to calm down or puts them in a separate room. They also feel safe in the facility.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jackie Jin
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024
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 26-AS-20220906151837
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
Lookup Error,
, CA
FACILITY NAME: MISSION BAY LAS COLINAS
FACILITY NUMBER: 435202261
VISIT DATE: 02/29/2024
NARRATIVE
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LPA Donato did a records review and it showed constant in-service training on handling different behaviors. The trainings are namely Non Violent Crisis Intervention, Effective Verbal Intervention & Active Treatment.

Based on interviews & records review, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Report is reviewed and copy is provided.
SUPERVISORS NAME: Jackie Jin
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 02/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/29/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2