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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 507005611
Report Date: 10/03/2024
Date Signed: 10/04/2024 09:14:52 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
08/21/2024 and conducted by Evaluator Jason Lund
COMPLAINT CONTROL NUMBER: 27-AS-20240821141545
FACILITY NAME:SUNSHINE RESIDENTIAL FACILITYFACILITY NUMBER:
507005611
ADMINISTRATOR:MARY AMOAHFACILITY TYPE:
735
ADDRESS:420 ROADRUNNER DRIVETELEPHONE:
(209) 894-7465
CITY:PATTERSONSTATE: CAZIP CODE:
95363
CAPACITY:6CENSUS: 5DATE:
10/03/2024
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:House Manager Leslie ToralTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff transported client(s) in an unsafe manner
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation regarding the above allegation. LPA Lund met with House Manager Leslie Toral and explained the reason for the visit. Census: 5

Staff transported client(s) in an unsafe manner - LPA Lund reviewed facility records, interviewed reporting parties, facility staff, and residents in care. Based on reviewed facility records, interviewed reporting parties, facility staff, and residents in care. On August 20, 2024, Staff (S1) came to pick up clients from Valley Caps Modesto Day Program. When S1 arrived to pick up the clients to take back to the facility the day program staff believed that S1 was under the influence and refused to let S1 drive the clients back to the facility. Valley Caps Administrator Nathan Ayala called Sunshine Residential Administrator Mary Amoah who came to the day program and pick up the clients and took them back to the facility. On 8/26/2024 S1 was screened through a urine test at drug test Lab in Modesto CA. The screening results were negative for drugs. S1 has since been able to go back to work at the facility.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024
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 2
Control Number 27-AS-20240821141545
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: SUNSHINE RESIDENTIAL FACILITY
FACILITY NUMBER: 507005611
VISIT DATE: 10/03/2024
NARRATIVE
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Based on reviewed facility records, interviewed reporting parties, facility staff, and residents in care on the information provided, it was unclear if Staff transported client(s) in an unsafe manner, therefore the allegation was deemed UNSUBSTANTIATED.

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

Exit interview conducted and report left.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 10/03/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/03/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2