486804139-5-9-2023-21-AS-CMAZ-CRYM2E-20230519091323

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 486804139
Report Date: 05/09/2023
Date Signed: 05/09/2023 10:50:11 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
04/20/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20230420165733

FACILITY NAME:	SOLANO HOUSE		FACILITY NUMBER:	486804139
ADMINISTRATOR:	HALL, ELIZABETH		FACILITY TYPE:	735
ADDRESS:	2251,2261,& 2271 S WATNEY WAY		TELEPHONE:	(530) 758-2160
CITY:	FAIRFIELD	STATE: CA	ZIP CODE:	94533
CAPACITY:	32	CENSUS: 8	DATE:	05/09/2023
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Elizabeth Hall		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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9

Client's are unsupervised
Staff violated client's personal rights
Knives are not secured
Staff have not completed training as required

INVESTIGATION FINDINGS:

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Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. LPA met with Administrator & Assistant and discussed the allegations/findings. During the course of this investigation staff and clients have been interviewed, documents obtained and reviewed, as well as unannounced site visits to the Program. Findings follow: Although one client was housed in a building alone for classification reasons, no evidence was found suggesting the client was not supervised and hourly rounds document regular checks; C1 alleges two occasions where two staff yelled at C1; Staff deny the allegation; One incident was not witnessed; The staff witness to the other occasion denies that staff yelled at C1; Two unannounced site visits by this Department found all sharp knives to be secured and unassessible to clients;
This Department's audit of staff training conducted on April 07 found no evidence of incomplete training of staff. Although the allegations may be true, or valid, based upon the statements, documents, and visits, the Department did not find a preponderance of evidence to prove the allegations are or, are not, true. Therefore, the allegations are UNSUBSTANTIATED.
No citations issued. Report left.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: David Leibert
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

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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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
04/20/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20230420165733

FACILITY NAME:	SOLANO HOUSE		FACILITY NUMBER:	486804139
ADMINISTRATOR:	HALL, ELIZABETH		FACILITY TYPE:	735
ADDRESS:	2251,2261,& 2271 S WATNEY WAY		TELEPHONE:	(530) 758-2160
CITY:	FAIRFIELD	STATE: CA	ZIP CODE:	94533
CAPACITY:	32	CENSUS: 8	DATE:	05/09/2023
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Elizabeth Hall		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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9

Insufficient staff to meet clients’needs

******** This is an amended version of the original document*******

INVESTIGATION FINDINGS:

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Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. LPA met with Elizabeeth Hall and discussed the allegations/findings. During the course of this investigation staff and clients have been interviewed, documents obtained and reviewed, as well as unannounced site visits made to the Program. Findings follow: The Policies and Procedures, Staffing and Ratio Hours section of the Facility’s Program Plan, page 5, states, in part: “Staffing is always….at a level to ensure safety based upon the milieu of the house.. During weekdays a minimum of three staff (BHT) are present from 10:00 am to 8:00pm.” During an interview with this Department, Assistant Director stated that, although three staff were scheduled, only one staff was present on duty for the swing shifts of 4/14 and 4/15/2023 while 6 clients were in care. Based upon the statements made and documents reviewed, the preponderance standard has been met. Therefore, the allegation is SUBSTANTIATED. The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, Division 6 of California Regulation. Failure to correct the deficiency and/or repeat deficiencies within a 12 month period may result in civil penalties. Exit interview conducted and appeal of rights provided.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: David Leibert
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 21-AS-20230420165733

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: SOLANO HOUSE	FACILITY NUMBER: 486804139
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/09/2023

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/16/2023 Section Cited CCR 80022(a)(b)(5)	1 2 3 4 5 6 7	80022(a)(b)(5) Plan of Operations. Each licensee shall have and maintain on file a current, written, definitive plan of operation. (b) The plan and related materials shall contain the following: Staffing plan, qualifications and duties, if applicable. ***Based upon statements and documents, this requirement has not been	1 2 3 4 5 6 7	Administration shall review Program Plan and 80065(a) of Title Twenty-Two Regulations and submit a written plan to CCL by POC date in order to clear the deficiency. The plan to address how compliance will be accomplished going forward
	8 9 10 11 12 13 14	met as evidenced by: One staff on duty for swing shifts of 4/14 and 4/15 which is in conflict with Program Plan requiring 3 staff on duty between 10 am and 8 pm. This posed a potential risk to the safety of clients in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: David Leibert
LICENSING EVALUATOR SIGNATURE:	DATE: 05/09/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/09/2023

LIC9099 (FAS) - (06/04)

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