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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 502700117
Report Date: 03/21/2022
Date Signed: 03/21/2022 03:46:24 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, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/01/2022 and conducted by Evaluator Jason Lund
COMPLAINT CONTROL NUMBER: 27-AS-20220201154743
FACILITY NAME:STEPS HOMEFACILITY NUMBER:
502700117
ADMINISTRATOR:VICTOR MANUEL CARDONAFACILITY TYPE:
735
ADDRESS:560 ASHLAND AVENUETELEPHONE:
(415) 652-6720
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY:5CENSUS: 5DATE:
03/21/2022
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Administrator Victor CardonaTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Residents were left unattended.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jason Lund arrived at the above facility to deliver findings for a complaint. LPA was met by Administrator V. Cardona and explained the reason for the visit.

Based on records reviewed and interviews conducted with staff, residents and witness it was discovered that on 1/31/2022 Client (C1) left the facility and walked to neighbor’s door and repeatedly wrong the doorbell. The neighbor came out of the house a few different times. An older male (Neighbor) per Staff (S1) reported to Turlock Police Department # 220310251 stated neighbor came out of his residence what looked like to be a weapon with a blue Bandana wrapped around it. S1 was sacred for the safety of C1 and S1 and called Staff (2) to help with C1 back to the facility. S1 wanted the incident documented with Turlock PD. Interviews with staff stated that three clients were left at the facility for approximately five minutes while staff assisted C1 back to the facility. S2 explained to the three clients that S2 would be right back and everything was locked and secured in the office of the facility. The facility reported the incident to Valley Mountain Regional Center and to CCL. The three client LIC602 state that they can be left unassisted with directions from staff.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022
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 27-AS-20220201154743
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME: STEPS HOME
FACILITY NUMBER: 502700117
VISIT DATE: 03/21/2022
NARRATIVE
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The Department (CCLD) has found the allegations. Unsubstantiated.

A finding that the complaint allegation(s) are UNSUBSTANTIATED means that although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred

SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2