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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 507001405
Report Date: 11/07/2024
Date Signed: 11/07/2024 11:41:28 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
08/05/2024 and conducted by Evaluator Renee Campbell
COMPLAINT CONTROL NUMBER: 27-AS-20240805123804
FACILITY NAME:CENTRAL VALLEY TRAINING CENTER, INC.FACILITY NUMBER:
507001405
ADMINISTRATOR:MARY VELAZQUEZFACILITY TYPE:
775
ADDRESS:1405 KANSAS AVENUE, SUITE CTELEPHONE:
(209) 522-0332
CITY:MODESTOSTATE: CAZIP CODE:
95351
CAPACITY:126CENSUS: 144DATE:
11/07/2024
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Courtney Kegley, Interim Program DirectorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Client was inappropriately touched by staff
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
LPA Renee Campbell conducted a visit to this facility on 11/07/24 to deliver complaint findings for the allegation listed above. The complaint was accepted by IB as an assignment and assigned to Inv. Jorge Jauregui. During the course of the assignment, extensive interviews were conducted and facility and resident records were reviewed.

Initially, Client 1 (C1) stated that Staff 1 (S1) touched them and C2 inappropriately. C1 also reported that S2 had witnessed the infraction. When interviewed, the IB investigator found that C1 provided conflicting information and, C2 denied being victimized by S1. S2 also denied witnessing the alleged assault and stated that C1 had a history of fabricating allegations and invading other’s space.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred therefore, we have found the allegation(s) to be UNSUBSTANTIATED. Exit interview conducted, appeal rights provided.

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

DATE: 11/07/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/07/2024
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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