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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 502701020
Report Date: 09/12/2023
Date Signed: 09/12/2023 11:43:03 AM

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
07/14/2023 and conducted by Evaluator Maja Jensen
COMPLAINT CONTROL NUMBER: 27-AS-20230714124426
FACILITY NAME:HOPE'S CARE HOMEFACILITY NUMBER:
502701020
ADMINISTRATOR:SOLORIO, GLORIAFACILITY TYPE:
735
ADDRESS:315 LALOMA AVETELEPHONE:
(209) 505-1236
CITY:MODESTOSTATE: CAZIP CODE:
95354
CAPACITY:6CENSUS: 6DATE:
09/12/2023
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Daniel SolarioTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Staff stole resident's belongings.
INVESTIGATION FINDINGS:
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On 9/12/23 at approximately 10:30, Licensing Program Analyst Maja Jensen arrived at facility unannounced to deliver findings for the complaint investigation in to the above listed allegation. LPA Jensen met with House Manager Daniel Solario.

Based on records reviewed and interviews conducted the allegation of "staff stole resident's belongings" is UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened, the preponderance of evidence does not prove it. LPA Jensen reviewed resident records for Resident 1 (R1). LPA Jensen also interviewed 2 of 3 residents and 2 staff members. LPA Jensen observed that according to the records reviewed, the resident that is the subject of this complaint has a history of behavioral health conditions that predispose them to making false allegations. In addition, all staff and residents interviewed denied there has ever been an issue with resident belongings being stolen.

An exit interview was conducted and a copy of this report and appeal rights were given to Daniel Solario.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Maja Jensen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2023
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
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
07/14/2023 and conducted by Evaluator Maja Jensen
COMPLAINT CONTROL NUMBER: 27-AS-20230714124426

FACILITY NAME:HOPE'S CARE HOMEFACILITY NUMBER:
502701020
ADMINISTRATOR:SOLORIO, GLORIAFACILITY TYPE:
735
ADDRESS:315 LALOMA AVETELEPHONE:
(209) 505-1236
CITY:MODESTOSTATE: CAZIP CODE:
95354
CAPACITY:6CENSUS: 6DATE:
09/12/2023
UNANNOUNCEDTIME BEGAN:
10:30 AM
MET WITH:Daniel SolarioTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
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8
9
Staff does not safeguard residents belongings from other residents.
INVESTIGATION FINDINGS:
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13
On 9/12/23 at approxiately 10:30, Licensing Program Analyst Maja Jensen arrived at facility unannounced to deliver findings for the complaint investigation in to the above listed allegation. LPA Jensen met with House Manager Daniel Solario.

LPA Jensen reviewed the resident file for Resident 1 (R1) who is the subject to this complaint and determined that an inventory of belongings was not conducted upon admission or at any other time during the course of residency. The Licensee also confirmed via email that there was no inventory conucted for R1 upon admission. Based on records reviewed, the allegation of Staff does not safeguard residents belongings from other residents is SUBSTANTIATED. A finding of substantiated means that the preponderance of the evidence standard has been met.

Deficiencies are being cited from the California Code of Regulations (CCR) Title 22, Division 6.
An exit interview was conducted and a copy of this report and apeal rights were given to Daniel Solario.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Maja Jensen
LICENSING EVALUATOR SIGNATURE:

DATE: 09/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20230714124426
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: HOPE'S CARE HOME
FACILITY NUMBER: 502701020
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/12/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/13/2023
Section Cited
CCR
80070(b)(14)
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Client Records
Each record must contain information including, but not limited to, the following:...
An account of the client's cash resources, personal property, and valuables entrusted as specified in Section 80026. This requirement was not met based on:
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As a result of this complaint investigation, the Licensee has established a procedure wherein all client belongings are inventoried upon arrival and prior to entering their bedroom. No further plan of correction is required at this time.
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LPA Jensen's record review confirming that an inventory of personal belongings was not conducted for R1. This poses a potential risk for the health, safety and personal rights of residents in care.
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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: 09/12/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/12/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3