507005586-12-21-2023-27-AS-LRIS-CYR2UC-20231221164208

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 507005586
Report Date: 12/12/2023
Date Signed: 12/21/2023 10:49:32 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
10/06/2023 and conducted by Evaluator Arielle Pascua

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20231006160105

FACILITY NAME:	COLE VOCATIONAL SERVICES MODESTO		FACILITY NUMBER:	507005586
ADMINISTRATOR:	MADSEN, TAMARA		FACILITY TYPE:	775
ADDRESS:	544 LYELL DR		TELEPHONE:	(209) 575-3100
CITY:	MODESTO	STATE: CA	ZIP CODE:	95356
CAPACITY:	90	CENSUS: 64	DATE:	12/12/2023
		UNANNOUNCED	TIME BEGAN:	09:50 AM
MET WITH:	Jessica Delgado		TIME COMPLETED:	11:00 AM

ALLEGATION(S):

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Staff confined residents to a room at the facility

INVESTIGATION FINDINGS:

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On 12/12/2023, Licensing Program Analyst (LPA) Arielle Pascua arrived unannounced to conduct a complaint visit. LPA met with Facility Designated Administrator, Jessica Delgado and explained the purpose of the visit. The purpose of the visit was to deliver complaint findings for the allegations above.
Current census was 64. A brief interview with FDA Delgado was conducted.
It was alleged that staff confined residents to a room at the facility. During the course of this LPA conducted staff and resident interviews. Based on interviews conducted, it was learned that the facility mops the floors by participants every Friday. LPA conducted 3 staff interviews and 6 participant interviews. 3 out of 3 staff members state that they are aware that mopping days are on Fridays. 3 out 3 staff members state that they are encouraged to go out into the community on those days to ensure that there are no participants at the this time. 3 out of 3 staff report that they have never confined a resident in a room. 6 out 6 residents state that they have never been confined in a room. 6 out 6 residents deny ever seeing any staff members, or residents confining others in a room. Based on the information gathered, it is unclear that staff confined residents to a room at the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Arielle Pascua
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023

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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Control Number 27-AS-20231006160105

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: COLE VOCATIONAL SERVICES MODESTO	FACILITY NUMBER: 507005586
	VISIT DATE: 12/12/2023

NARRATIVE

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As a result of this investigation, this Department found the allegations to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegations may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred.

There were no deficiencies observed or cited at this time. An exit interview was conducted and a copy of this report was provided to the facility at the end of this visit.

SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Arielle Pascua
LICENSING EVALUATOR SIGNATURE:	DATE: 12/12/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/12/2023

LIC9099 (FAS) - (06/04)

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