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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107200789
Report Date: 12/09/2020
Date Signed: 12/09/2020 02:58:22 PM



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
10/14/2020 and conducted by Evaluator Tamara Melikian
PUBLIC
COMPLAINT CONTROL NUMBER: 24-CR-20201014150806
FACILITY NAME:PROMESA, BARSTOW HOUSEFACILITY NUMBER:
107200789
ADMINISTRATOR:J.SOLORIO, A.VARGASFACILITY TYPE:
733
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:6CENSUS: 4DATE:
12/09/2020
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Arlene VargasTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not provide a copy of policies and procedures to minor (#1).
Staff confiscated minor's (#1) funds.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/08/2020, Licensing Program Analyst (LPA) Tamara Melikian conducted an unannounced complaint inspection to deliver the findings for the above allegations. Met by Residential Program Director Arlene Vargas. Due to restrictions of COVID-19, this complaint inspection is being conducted by teleinspection with a copy of this document scanned to the facility representative with a request for signature and a scan back on this date.

This LPA obtained documents from the facility and interviewed staff. In addition, the former minor (#1) was also interviewed. Based on interviews conducted and documents obtained, it is unclear whether the minor received a copy of the policies and procedures or if the staff confiscated the minor's (#1) funds. Therefore, the complaint is Unsubstantiated.

There are no deficiencies to be cited on this date.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Melanie KrageTELEPHONE: (559) 650-7905
LICENSING EVALUATOR NAME: Tamara MelikianTELEPHONE: (559) 974-5520
LICENSING EVALUATOR SIGNATURE:

DATE: 12/09/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/09/2020
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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