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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 486803874
Report Date: 10/20/2023
Date Signed: 10/20/2023 11:13:56 AM

Document Has Been Signed on 10/20/2023 11:13 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
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME:TELECARE ENGLISH HILLSFACILITY NUMBER:
486803874
ADMINISTRATOR:OLIVES, ADAM J.FACILITY TYPE:
738
ADDRESS:7821 ENGLISH HILLS ROADTELEPHONE:
(707) 815-2511
CITY:VACAVILLESTATE: CAZIP CODE:
95688
CAPACITY: 4CENSUS: 3DATE:
10/20/2023
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
10:45 AM
MET WITH:Regional Director of Operations, Tiffany SpeikerTIME COMPLETED:
11:25 AM
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On 10/20/2023, Licensing Program Analyst (LPA) Tobola arrived unannounced for the purpose of conducting a case management and was greeted by Lead Staff, Shanelle Arquero. Regional Director of Operations, Tiffany Speiker (RDO) arrived later in the visit. The visit is to follow up on a self-reported SOC341 Report of Suspected Abuse stating client, (C1) had reported to facility that a staff, (S1) allegedly spoke to C1 in an inappropriate sexual manner and S1 allegedly exposing themselves to C1.

LPA and RDO discussed the incident and is currently under internal investigation. RDO has conducted interviews with several staff and alleged witnesses. Additional interviews with staff are still pending. Solano County Police Department and S1 have been notified of the investigation. S1 has been removed from scheduling for severals week until findings have been determined.

RDO will provide LPA with continued internal investigation findings and a copy of the police report as the case continues.

No deficiencies cited during today's visit.
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Dominic Tobola
LICENSING EVALUATOR SIGNATURE: DATE: 10/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 10/20/2023
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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