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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 502700165
Report Date: 03/14/2024
Date Signed: 05/31/2024 10:12:12 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/08/2024 and conducted by Evaluator Renee Campbell
COMPLAINT CONTROL NUMBER: 27-AS-20240308091653
FACILITY NAME:PRESTIGE CARE CENTER LLCFACILITY NUMBER:
502700165
ADMINISTRATOR:MCNEAL, TANISHAFACILITY TYPE:
735
ADDRESS:474 SUNDAY DRTELEPHONE:
(209) 443-7707
CITY:TURLOCKSTATE: CAZIP CODE:
95382
CAPACITY:6CENSUS: 4DATE:
03/14/2024
UNANNOUNCEDTIME BEGAN:
08:00 AM
MET WITH:Tanisha McNeal, AdministratorTIME COMPLETED:
09:45 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff hit client in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
A visit was conducted on 05/31/24 with Direct Support Provider Vanessa Oliva to amend the document from the 03/14/24 visit. The document below is an amendment to the prior report.

On 03/14/24, LPA Renee Campbell arrived to conduct a visit to present findings. LPA Campbell met with Administrator Tanisha McNeal and explained the purpose of the visit.

Based on interviews with family and staff and document reviews, R1 has made several different statements regarding being hit by S1. R1 has been interviewed by staff with and without their parent and the statements made by R1 have not be consistent. Also, there were no other witnesses present during the alleged altercation. Of the three staff interviewed, neither S6, S4, or S2 witnessed the event and S10 confirmed no other staff were scheduled. The Department is therefore unable to determine if S1 hit R1. The allegation is therefore unsubstantiated.

Complaint allegation findings of UNSUBSTANTIATED mean that although the allegation 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 issued per Title 22 regulations. Exit Interview. Copy of report provided to facility representative.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 03/14/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024
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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