486800498-12-20-2023-21-AS-VBEI-CZ5U3N-20240103141349

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 486800498
Report Date: 12/20/2023
Date Signed: 12/20/2023 11:05:38 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/11/2023 and conducted by Evaluator Christopher Arnhold

COMPLAINT CONTROL NUMBER: 21-AS-20231211161510

FACILITY NAME:	MILESTONES ADULT DEVELOPMENT CENTER		FACILITY NUMBER:	486800498
ADMINISTRATOR:	ALFREDO LACUATA JR		FACILITY TYPE:	775
ADDRESS:	1 FLORIDA STREET		TELEPHONE:	(707) 644-0464
CITY:	VALLEJO	STATE: CA	ZIP CODE:	94590
CAPACITY:	116	CENSUS: 50	DATE:	12/20/2023
		UNANNOUNCED	TIME BEGAN:	10:15 AM
MET WITH:	Fred Lacvata		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff mistreated residents

INVESTIGATION FINDINGS:

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At approximately 10:15AM, Licensing Program Analyst (LPA) Chris Arnhold arrived at this facility unannounced to conduct an investigation into the above allegations. LPA met with Program Director Fred Lacvata, toured the facility and interviewed staff and clients.
During the tour of the facility, LPA observed staff working with clients on various arts and crafts, games and other activities. Clients were engaged with each activity and appeared well cared for. LPA was not able to gather details of how staff mistreat clients, but there were no indications of mistreatment. Facility has a long history of substantial compliance.

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 allegation is Unsubstantiated.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Christopher Arnhold
LICENSING EVALUATOR SIGNATURE:	DATE: 12/20/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/20/2023

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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