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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486803940
Report Date: 10/31/2024
Date Signed: 11/04/2024 11:01:56 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 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
06/18/2024 and conducted by Evaluator Julie Florio
COMPLAINT CONTROL NUMBER: 21-AS-20240618114027
FACILITY NAME:BRIGHT YEARS CARE HOMEFACILITY NUMBER:
486803940
ADMINISTRATOR:GARCIA, GIORJEOUSFACILITY TYPE:
735
ADDRESS:1223 ETON CTTELEPHONE:
(707) 386-3888
CITY:FAIRFIELDSTATE: ZIP CODE:
94533
CAPACITY:4CENSUS: 4DATE:
10/31/2024
UNANNOUNCEDTIME BEGAN:
10:10 AM
MET WITH:Giorjeous Garcia, AdministratorTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Personal Rights
INVESTIGATION FINDINGS:
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On 10/31/2024, at approximately 10:10 AM, Licensing Program Analyst (LPA) Julie Florio arrived unannounced to deliver findings for the above allegation and met with Giorjeous Garcia, Administrator. Reporting Party (RP) alleges that on 06/13/2024 at approximately 12:15 PM they observed an incident where Client 1 (C1) became physical, and Staff 1 (S1) attempted to redirect C1 by picking up a coffee table to guide C1 toward the bedroom hallway.

LPA conducted 10-day on 06/27/2024 and obtained documents, made observations, took photos, and conducted interviews with S1, Staff 2 (S2), Administrator, Licensee, and Client (C1). On 10/21/2024, LPA conducted additional telephone interviews with RP, Witness 1 (W1), S1, and Administrator. During the investigation, LPA was informed that the facility has cameras in the common areas and supposedly there was footage from the day and time of the incident.

Continued on LIC9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Julie Florio
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
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 21-AS-20240618114027
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: BRIGHT YEARS CARE HOME
FACILITY NUMBER: 486803940
VISIT DATE: 10/31/2024
NARRATIVE
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Continued from LIC9099...

LPA attempted to obtain this camera footage but was unable to, because the facility states it is only able to retrieve the last 30-days of footage. Since this timeframe has elapsed, LPA was unable to obtain camera footage of the incident. Based on LPAs interviews, LPA received conflicting information of what occurred on the date of the incident. RP states S1 picked up the coffee table to use it as a guide while redirecting C1. While interviews with S1 reveal that they moved the coffee table out of the way as the result of C1 kicking the table.

Based on record review, interviews conducted, and observations made, the allegation of Facility violated the client’s personal rights is UNSUBSTANTIATED. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No Deficiencies cited during visit.

Exit interview conducted. Copy of report discussed and provided to Administrator. Signature on form confirms receipt of documents.
SUPERVISORS NAME: Bethany Moellers
LICENSING EVALUATOR NAME: Julie Florio
LICENSING EVALUATOR SIGNATURE:

DATE: 10/31/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2