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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 557004883
Report Date: 09/16/2022
Date Signed: 09/18/2022 07:00:17 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/08/2022 and conducted by Evaluator Sarah Hurt
COMPLAINT CONTROL NUMBER: 27-AS-20220808144904
FACILITY NAME:WATCHFACILITY NUMBER:
557004883
ADMINISTRATOR:CLINT BOWERFACILITY TYPE:
775
ADDRESS:12801 CABEZUTTELEPHONE:
(209) 533-0510
CITY:SONORASTATE: CAZIP CODE:
95370
CAPACITY:140CENSUS: 46DATE:
09/16/2022
UNANNOUNCEDTIME BEGAN:
11:00 AM
MET WITH:Administrator, Clint BowerTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff are transporting clients in care in an unsafe manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility visit to deliver findings on the allegation above. LPA Hurt met with Administrator, Clint Bower and explained the purpose of today's visit.

Regarding the allegation staff are transporting clients in care in an unsafe manner. Based on LPA interviews the facility staff does not appear to be transporting clients in an unsafe manner. LPA Hurt spoke with four facility staff, and four facility clients. The four facility staff all stated they have never witnessed any of the drivers at the program driving unsafely. Staff 1 stated she lives near Staff 2 and sees her driving in town at times and has never seen her driving unsafe. The four facility clients interviewed all stated they have never witnessed any facility staff driving unsafe. The four clients interviewed stated they have never witnessed any of the program drivers yelling, or being aggressive towards other drivers.

Continued on 9099C...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 27-AS-20220808144904
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME: WATCH
FACILITY NUMBER: 557004883
VISIT DATE: 09/16/2022
NARRATIVE
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Continued from 9099..


Therefore, this complaint is UNSUBSTANTIATED. A finding that a complaint is 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 did or did not occur, therefore the allegation is unsubstantiated.

No Deficiencies Cited during this visit Per Title 22 Regulations.

Exit Interview Conducted and a copy of this report was left at the facility.
SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Sarah Hurt
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2022
LIC9099 (FAS) - (06/04)
Page: 5 of 5