496830784-8-24-2023-21-AS-KMOA-CV9MBU-20230901092829

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 496830784
Report Date: 08/24/2023
Date Signed: 08/24/2023 01:30:34 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
05/23/2023 and conducted by Evaluator Dina Alviso

PUBLIC

COMPLAINT CONTROL NUMBER: 21-AS-20230523100443

FACILITY NAME:	AMANI DAY SERVICES		FACILITY NUMBER:	496830784
ADMINISTRATOR:	CATIIS, REGINALD ROSS		FACILITY TYPE:	775
ADDRESS:	5420 STATE FARM DR SUITE A		TELEPHONE:	(707) 791-3290
CITY:	ROHNERT PARK	STATE: CA	ZIP CODE:	94928
CAPACITY:	30	CENSUS: 26	DATE:	08/24/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Reginald Catiis-Administrator		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are not providing safe and healthful accommodations for clients in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Alviso conducted a complaint inspection, on 8/24/23 at approximately 9:00aM, and met with Administrator Reginald Catiis, and Supervisor Erica De Vera. The LPA reviewed facility records,training information topics, and proof of training. The LPA reviewed two(2)staff records. The LPA reveiwed records, interviewed seven(7) staff, and reviewed information provided by other party(s) regarding the allegation.The investigation revealed that there was an incident reported to the Administrator and the Supervisor that a facility bathroom smelled like marijuana; It was also reported that two(2) staff had been in the bathroom together and had smoked weed in the bathroom. Per interviews, no staff working at the day program observed the two staff smoking marijuana and/or smoking any cigarettes the day the incident was reported and/or any other day staff was working. Per investigation, lead staff observed no smoke in the bathroom but smelledl a faint marijuana smell that could be from a staff's clothing as no one observed any staff smoking. Per interviews, there was no drug paraphernalia found on facility premises. There is differing information obtained from parties interviewed and information provided to the Department. Investigation revealed that there was no information obtained to support a violation had occurred.
Continued on LIC9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Hope DeBenedetti
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023

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-20230523100443

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: AMANI DAY SERVICES	FACILITY NUMBER: 496830784
	VISIT DATE: 08/24/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Per facility record reviews and staff interviews, Administration staff held a training with all staff regrading the facility's Drug Policy. Administration staff posted up "No drug use" signs in the facility.

There was information provided to the Department that staff were drinking alcohol on-site while clients were at the day program. Per interviews, the investigation revealed that there was a cinco de mayo party, on 5/5, for staff. The party started after work hours when no clients were on-site; The clients are taken home from day program approximately between 2:15 and 2:30. Staff use the transportation day program vehicles to take the clients home. Staff did have food and alcohol at the staff party. The party started approximately between 4-5pm, and there were no clients on-site per interviews. There is differing information provided to the Department from information obtained in the investigation. There was no information obtained to support a violation had occurred.

Based on the interviews, record/document reviews, and related information obtained during the investigation, the allegation "Staff are not providing safe and healthful accommodations for clients in care" is Unsubstantiated, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies cited.
Exit interview was conducted with the Administrator.

SUPERVISORS NAME: Hope DeBenedetti
LICENSING EVALUATOR NAME: Dina Alviso
LICENSING EVALUATOR SIGNATURE:	DATE: 08/24/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/24/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2