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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 565801424
Report Date: 09/16/2024
Date Signed: 09/16/2024 02:21:56 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, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/18/2024 and conducted by Evaluator Brian Balisi
COMPLAINT CONTROL NUMBER: 29-AS-20240418143134
FACILITY NAME:ARC VC-COCHRANFACILITY NUMBER:
565801424
ADMINISTRATOR:JOSEPH A LAPORTEFACILITY TYPE:
775
ADDRESS:5143 COCHRAN STREETTELEPHONE:
(805) 520-0399
CITY:SIMI VALLEYSTATE: CAZIP CODE:
93063
CAPACITY:90CENSUS: 54DATE:
09/16/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Brianne Esseff - Case ManagerTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff inappropriately question a client causing the client emotional distress
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Brian Balisi conducted a subsequent complaint visit to continue the investigation on the allegation listed above. Upon arrival LPA met with Brianne Esseff and explained the reason for the visit.

On 04/24/2024, the initial complaint visit was conducted by LPA between approximately 09:15 a.m. - 12:30 p.m. During the visit, LPA’s conducted physical plant, interviewed staff, clients, as well as, reviewed and obtained copies of pertinent documentation relevant to the investigation. Today LPA conducted interviews with clients as well as family members / responsible parties of clients in care.

It was reported that staff inappropriately question a client causing the client emotional distress, as it was alleged that Client #(C1) has been questioned inappropriately by staff resulting in C1 to be in distress. LPA's interviews with ten (10) clients, including C1, showed that none of them had ever seen staff ask inappropriate questions or speak in a way that would cause emotional distress.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2024
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 29-AS-20240418143134
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: ARC VC-COCHRAN
FACILITY NUMBER: 565801424
VISIT DATE: 09/16/2024
NARRATIVE
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Continued from 9099

None of the clients reported any immediate or potential concerns about staff questioning clients in a way that might cause emotional distress at this time. LPA's interview with five (5) families / responsible parties of clients in care revealed they did not express any concerns about staff questioning clients in a manner that would cause emotional distress.  Additionally, interviews with eight (8) staff members confirmed that none of them had observed any staff asking inappropriate questions or speaking inappropriately to clients at this time. These staff members also did not express any concerns about staff questioning clients in a manner that would cause emotional distress. Based on the information obtained during the investigation, the Department does not have sufficient evidence to corroborate the allegation. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegation, “Staff inappropriately questions a client causing the client emotional distress” is deemed Unsubstantiated at this time.

Exit interview conducted and copy of report issued.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Brian Balisi
LICENSING EVALUATOR SIGNATURE:

DATE: 09/16/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/16/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2