496802043-7-24-2023-21-AS-HDBI-CUBR7B-20230802124604

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 496802043
Report Date: 07/24/2023
Date Signed: 07/24/2023 03:33:49 PM

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
06/23/2023 and conducted by Evaluator Farhaan Sarangi

COMPLAINT CONTROL NUMBER: 21-AS-20230623160255

FACILITY NAME:	PROGRESS SONOMA		FACILITY NUMBER:	496802043
ADMINISTRATOR:	ELIZABETH PICKERING		FACILITY TYPE:	772
ADDRESS:	3400 MONTGOMERY DRIVE		TELEPHONE:	(707) 526-6902
CITY:	SANTA ROSA	STATE: CA	ZIP CODE:	95405
CAPACITY:	10	CENSUS: 10	DATE:	07/24/2023
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Program Director, Racquel Raval		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff did not comply with the terms and conditions of the admission agreement.
Staff did not accord resident privacy.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Farhaan Sarangi arrived unannounced at Progress Sonoma for the purpose of conducting interviews with clients in placement and delivering complaint findings. LPA was greeted at the door by Counselor, Patrick Keenan and was granted access into the facility and directed to the Program Director, Racquel Raval.

During the course of the investigation, LPA interviewed staff and a random sample of clients in care. During the subsequent complaint investigation inspection dated for July 18, 2023, LPA reviewed Client #1's file.

Complaint alleges that Staff did not comply with the terms and conditions of the admission agreement. Based on interviews that were conducted, LPA could not prove or disprove that staff are not complying with the terms and conditions outlined in the Admission Agreement. Furthermore, during interviewing, LPA learned of no concerns regarding the care of clients. (Report continued on LIC 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Hope DeBenedetti
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023

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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Control Number 21-AS-20230623160255

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: PROGRESS SONOMA	FACILITY NUMBER: 496802043
	VISIT DATE: 07/24/2023

NARRATIVE

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Complaint alleges that Staff did not accord resident privacy. Based on interviews that were conducted, LPA could not prove or disprove the allegation. LPA could not obtain additional evidence to prove that the facility staff do not accord resident privacy. Furthermore, during interviewing, LPA learned of no concerns regarding the care of clients.

A finding that the complaint allegations of Staff did not comply with the terms and conditions of the admission agreement and Staff did not accord resident privacy are unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED. Exit interview was conducted and a copy of this was report was signed and given to the Program Director, Racquel Raval.

SUPERVISORS NAME: Hope DeBenedetti
LICENSING EVALUATOR NAME: Farhaan Sarangi
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2023

LIC9099 (FAS) - (06/04)

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