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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 547203972
Report Date: 09/08/2023
Date Signed: 09/08/2023 02:30:56 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/24/2023 and conducted by Evaluator Malia Thao
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20230424092720
FACILITY NAME:CENTRAL VALLEY TRAINING CENTERFACILITY NUMBER:
547203972
ADMINISTRATOR:LOWES, MARIAFACILITY TYPE:
775
ADDRESS:9838 W. GROVE AVETELEPHONE:
(559) 651-2844
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:75CENSUS: 29DATE:
09/08/2023
UNANNOUNCEDTIME BEGAN:
12:09 PM
MET WITH:Lindsey Devries, Administrator (Program Director)TIME COMPLETED:
02:50 PM
ALLEGATION(S):
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Staff spoke inappropriately to client in care.
INVESTIGATION FINDINGS:
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On 9/8/23 at 12:09 PM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a complaint investigation. LPA explained reason for inspection and met with Administrator (ADM) Lindsey Devries.

LPA reviewed records and conducted interviews. Based on record reviews and interviews conducted, LPA found that staff spoke inappropriately to client in care. During the facility's internal investigation, S1 admitted to facility management that S1 was shaking the shoe and using an aggressive tone stating to C1 "you're going to get in trouble for this". S1 was terminated two days following the incident. The “preponderance of the evidence” standard has been met. The above allegation is substantiated.

A deficiency is being cited based on LPA record review and interviews conducted in accordance with the California Code of Regulations, Title 22, see LIC9099D. Exit interview was conducted and a Plan of Correction was reviewed and developed with the Administrator. A copy of this report and appeal rights were discussed and left with Administrator Lindsey Devries, whose signature on this form confirms receipt of these documents.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Malia Thao
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2023
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
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/24/2023 and conducted by Evaluator Malia Thao
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20230424092720

FACILITY NAME:CENTRAL VALLEY TRAINING CENTERFACILITY NUMBER:
547203972
ADMINISTRATOR:LOWES, MARIAFACILITY TYPE:
775
ADDRESS:9838 W. GROVE AVETELEPHONE:
(559) 651-2844
CITY:VISALIASTATE: CAZIP CODE:
93291
CAPACITY:75CENSUS: 29DATE:
09/08/2023
UNANNOUNCEDTIME BEGAN:
12:09 PM
MET WITH:Lindsey Devries, Administrator (Program Director)TIME COMPLETED:
02:50 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Staff hit client in care.
INVESTIGATION FINDINGS:
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13
On 9/8/23 at 12:09 PM, Licensing Program Analyst (LPA) Malia Thao arrived unannounced to conduct a complaint investigation. LPA explained reason for inspection and met with Administrator (ADM) Lindsey Devries.

LPA reviewed records and conducted interviews. Based on record reviews and interviews conducted, LPA did not find that staff hit client in care. During the facility's internal investigation, S1 admitted that although S1 acted like S1 was going to strike C1, S1 denies striking C1 at any time. The allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. The above allegation is unsubstantiated.

Exit interview conducted. A copy of this report was left with Administrator, whose signature confirms receipt of this report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Malia Thao
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2023
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 24-AS-20230424092720
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SIERRA CASCADE AC/SC, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: CENTRAL VALLEY TRAINING CENTER
FACILITY NUMBER: 547203972
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 09/08/2023
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/08/2023
Section Cited
CCR
82072(a)(3)
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82072 Personal Rights (a) Each client shall have personal rights which include,... (3) To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature,...
This requirement was not met as evidenced by:
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LPA reviewed records showing the facility conducted an all staff in-service training on 4/19/23 for the facility's Policy 606: Zero Tolerance for Abuse and Neglect. POC cleared during the inspection.
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During the facility's internal investigation, S1 admitted to facility management that S1 was shaking the shoe and using an aggressive tone stating to C1 "you're going to get in trouble for this", which poses a potential 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: Melinda Hoffmann
LICENSING EVALUATOR NAME: Malia Thao
LICENSING EVALUATOR SIGNATURE:

DATE: 09/08/2023
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/08/2023
LIC9099 (FAS) - (06/04)
Page: 3 of 3