547208243-8-9-2023-24-AS-MHON-CVFVL2-20230907163112

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 547208243
Report Date: 08/04/2023
Date Signed: 08/09/2023 04:38:53 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
04/27/2023 and conducted by Evaluator Melinda Medina

COMPLAINT CONTROL NUMBER: 24-AS-20230427162100

FACILITY NAME:	ENCLAVE AT THE FOOTHILLS		FACILITY NUMBER:	547208243
ADMINISTRATOR:	PEREZ, KRISTINA		FACILITY TYPE:	735
ADDRESS:	10650 ROAD 256		TELEPHONE:	(559) 527-5091
CITY:	TERRA BELLA	STATE: CA	ZIP CODE:	93270
CAPACITY:	100	CENSUS: 14	DATE:	08/04/2023
		UNANNOUNCED	TIME BEGAN:	12:50 PM
MET WITH:	Laura Li, Chief Administrative Officer		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Lack of supervision resulted in clients wondering onto the private property of neighbors

INVESTIGATION FINDINGS:

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On 8/04/23, Licensing Program Analyst (LPA) M. Medina and Licensing Program Manager (LPM) M. Hoffmann conducted a subsequent visit to deliver findings to complaint. LPA and LPM met with Laura Li, Chief Administrative Officer.

The Department investigated the allegation that lack of supervision resulted in clients wondering onto the private property of neighbors. Information received showed that several incidents occurred in the community, including residents wondering onto the property of neighbors. One such incident was when a resident wondered onto the property of a nearby neighbor whose home was under construction and attempted to enter the home but was redirected by a construction worker. Based on information received during the investigation, the allegation is substantiated however a deficiency is not being cited as a deficiency related to care and supervision was cited under Complaint #24-AS-20230724172025.

Exit interview conducted with Chief Administrative Officer.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2023

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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