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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 06:59:10 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-20220808095954
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:
09:30 AM
MET WITH:Administrator, Clint BowerTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff are smoking in the presence of clients in care.
Staff speak inappropriately to client(s) in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Sarah Hurt conducted an unannounced facility deliver findings on the allegations above. LPA Hurt met with Administrator Clint Bower and explained the purpose of today's visit.

Regarding the allegation staff are smoking in the presence of clients in care. LPA Hurt interviewed 4 facility clients, and four facility staff. The four facility staff stated they have never seen any of the program drivers smoking with clients in the car, and if they did it would be reported to Supervisors immediately. Three facility clients interviewed stated they have never witnessed any facility staff drivers smoking with them or any clients in the car. Client 1 stated she does remember Staff 1 driving herself and other clients to be COVID tested while smoking a cigarette and drinking a red bull.

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: 1 of 2
Control Number 27-AS-20220808095954
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...


One client out of four interviewed did have a differing statement recalling Watch staff smoking while driving clients, but due to a majority of the clients stating they have never witnessed any Watch staff smoking while driving clients 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.

Regarding the allegation Staff speak inappropriately to client(s) in care. LPA Hurt interviewed four facility staff, and four facility clients. The four facility staff all stated they have never witnessed any Watch facility staff speak inappropriately to clients. The four facility clients interviewed all stated they have never been cussed at or spoken to inappropriately by any Watch facility staff. 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 today Per Title 2 Regulations.

Exit interview conducted with Administrator Clint Bower and copy of report provided.
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: 2 of 2