486804139-5-18-2023-21-AS-HDBI-CS6UHJ-20230525153557

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 486804139
Report Date: 05/18/2023
Date Signed: 05/18/2023 10:12:59 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
05/05/2023 and conducted by Evaluator David Leibert

COMPLAINT CONTROL NUMBER: 21-AS-20230505121340

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:	05/18/2023
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Elizabeth Hall		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Staff gave resident access to hazardous items

INVESTIGATION FINDINGS:

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Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on this complaint. LPA met with Elizabeth Hall and discussed the allegation. During the course of this investigation, this Department has taken statements from staff and clients, reviewed documents, made site visits and inspected areas of the facility germane to this investigation. The following determinations are made: A client, C1, had knowledge of the combination for the padlock that secures the facility's kitchen; How C1 learned the combination is not known; Kitchen staff suspect unknown person(s) may have entered the kitchen around the time that the combination was breached; Sharp knives and hazardous materials are secured in a room inside the kitchen with a separate lock that has not been breached; Staff(S1) denies providing C1 with the combination; Client (C1) denies learning the combination from S1. Although the allegation may be true, or valid, based upon the statements and inspections, there is not a preponderance of evidence to prove the allegation is or, is not, true. Therefore, the allegation is UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: David Leibert
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2023

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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