<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 502700117
Report Date: 03/30/2023
Date Signed: 03/30/2023 01:24:19 PM

Substantiated


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 Maja Jensen
PUBLIC
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: DATE:
03/30/2023
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Victor CardonaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Residents were left unattended.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 3/30/23 at approximately 1pm, Licensing Program Analysts (LPAs) Maja Jensen and Jennifer Fain arrived at 3000 Geer Rd in Turlock and met with Licensee Victor Cardona for a scheduled visit to amend a complaint report and deliver findings.

During the course of this investigation, LPA Jensen interviewed the Licensee, the conservator for Resident , reviewed law enforcement records and verified Regional Center Service level staffing requirements. Based on interviews conducted and records reviewed it was determined that on 1/31/22, in the evening, there were 2 staff members and 4 clients present at the facility. Resident 1 (R1) was exhibiting maladaptive behaviors and left the facility unauthorized. Staff 1 (S1) followed R1 who went across the street to a nearby home and caused a disturbance. S1 attempted to redirect R1 but was unsuccessful. S1 assessed the developing situation and determined that she and R1 were in imminent danger. S1 called Staff 2 (S2) to assist in redirecting R1 back to the facility for safety.
Continued on LIC 9099C....
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Maja Jensen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023
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 3
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: 03/30/2023
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
Continued from LIC 9099C...
S1 and S2 together were successfully able to redirect R1 back to the facility. Upon returning to the facility, staff reported the incident to all appropriate parties. While 2 of 2 staff were attending to R1 outside of the facility, 3 clients remained in the facility unattended.

A deficiency is being cited from the California Code of Regulations, Title 22, Division 6. An immediate $500 civil penalty is also being assessed as a result of absence of supervision.

An exit interview was conducted and a copy of this report and appeal rights were given.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Maja Jensen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 3
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/30/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/31/2023
Section Cited
CCR
80065(a)
1
2
3
4
5
6
7
Personnel Requirements
(a) Facility personnel shall be competent to provide the services necessary to meet individual client needs and shall, at all times, be employed in numbers necessary to meet such needs. This requirement was not met as evidenced by:
1
2
3
4
5
6
7
Licensee agrees to develop a plan to ensure sufficient staffing at all times including crisis situations. License will email plan by Plan of Correction due date to maja.jensen@dss.ca.gov.
8
9
10
11
12
13
14
Based on law enforcement records and interviews conducted 3 of 4 clients were left unattended while 2 of 2 staff were attending to a resident that had left the facility unauthorized. This poses an immediate risk to the health, safety and personal rights of residents 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: Liza King
LICENSING EVALUATOR NAME: Maja Jensen
LICENSING EVALUATOR SIGNATURE:

DATE: 03/30/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3