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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 502701065
Report Date: 12/19/2024
Date Signed: 11/04/2025 04:06:29 PM

Substantiated


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
09/09/2024 and conducted by Evaluator Renee Campbell
COMPLAINT CONTROL NUMBER: 27-AS-20240909212859
FACILITY NAME:AIM HIGHER, INC.FACILITY NUMBER:
502701065
ADMINISTRATOR:WOODFORD, MAXFACILITY TYPE:
775
ADDRESS:318 MCHENRY AVETELEPHONE:
(916) 835-2933
CITY:MODESTOSTATE: CAZIP CODE:
95354
CAPACITY:80CENSUS: 35DATE:
12/19/2024
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Stephanie Cantu, Program DirectorTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Staff do not keep resident's information confidential.
Facility is storing incomplete files for residents in care
INVESTIGATION FINDINGS:
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On 12/19/2024, Licensing Program Analyst (LPA) Renee Campbell arrived to the facility to open a complaint. LPA Campbell met with the Program Director Stephanie Cantu and stated the purpose of the visit.

Regarding the allegation that staff do not keep resident's information confidential, when interviewed, C3 and C5 reported that S1 had shown them another clients folder. Only one of them could recall the name of the staff involved. S3 and S4 also reported that C3 and C5 had reported to them the same incident on the same day and that S1 was the staff named.

Regarding the allegation that the facility is storing incomplete files for residents in care, when LPA Campbell reviewed 12 files randomly selected, 4 files did not have a signed admission agreement form as required.

Based on staff interviews, record review and observations, the preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
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-20240909212859
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: AIM HIGHER, INC.
FACILITY NUMBER: 502701065
VISIT DATE: 12/19/2024
NARRATIVE
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Per California Code of Regulations (CCRs) - Title 22, Div.6, Ch. 6, deficiencies are being cited on the attached 9099D during this visit.

If any deficiencies are not corrected by the noted due dates; civil penalties may be assessed. A copy of their rights was provided (LIC9058) and their signature on this form acknowledges receipt of these rights.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20240909212859
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: AIM HIGHER, INC.
FACILITY NUMBER: 502701065
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 12/19/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Deficiency Dismissed
Type A
12/27/2024
Section Cited
CCR
82072(a)(2)
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82072(a) Each client shall have personal rights which include, but are not limited to, the following: (2) To be accorded safe, healthful and comfortable accommodations, ... to meet his/her needs.
This requirement is not met as evidenced by:
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The licensee or Director will ensure all client files and/or other personal information will be locked up. All staff will need to go to the Program Director to access the key to obtain the file and use a sign in sheet to track staff file access.
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Based on interviews, the licensee did not ensure client was accorded safe and healthfull accomodations when staff shared a client's personal information with other clients which poses an immediate Health, Safety or Personal Rights risk to persons in care.
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 The licensee or Program Director will provide the updated Plan of Operation Addendum or section describing the new procedure by 12/27/2024 and email it to renee.campbell@dss.ca.gov
Request Denied
Type B
12/27/2024
Section Cited
CCR
82070(b)(6)
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82070(b)(6) Each record must contain information including, but not limited to, the following: ... (6) A signed copy of the admission agreement specified in Section 82068.
This requirement is not met ...as evidenced by:
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The Program Director will 1st conduct a full file review to ensure all client files are complete. Thereafter, the facility will complete quarterly random file reviews of 25% of client files. Reviews will be recorded to avoid duplication. The addendum to the Plan of Operation will be emailed to LPA Campbell.
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Based on record reviews, the licensee did not ensure files were complete and contained signed admission agreements for all clients which poses a potential Health, Safety or Personal Rights risk to persons 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: Lisa Rios
LICENSING EVALUATOR NAME: Renee Campbell
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3