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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603866
Report Date: 06/05/2020
Date Signed: 06/10/2020 01:52:44 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
08/08/2019 and conducted by Evaluator Lourey Bartolome
PUBLIC
COMPLAINT CONTROL NUMBER: 08-CR-20190808142826
FACILITY NAME:ANGELS FOSTER FAMILY AGENCYFACILITY NUMBER:
374603866
ADMINISTRATOR:JEFFERY WIEMANNFACILITY TYPE:
430
ADDRESS:9295 FARNHAM STREET, STE.200TELEPHONE:
(619) 283-8100
CITY:SAN DIEGOSTATE: ZIP CODE:
92123
CAPACITY:87CENSUS: 0DATE:
06/05/2020
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Sara LucchiniTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Foster parent failed to properly supervise foster child while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Lourey Bartolome conducted a complaint investigation on the above allegation. (in accordance with PIN 20-05-CRP) LPA spoke with Program Director Sara Lucchini.

Based on the LPA's interview and review of documentation, Foster Parent denied any sort of neglect or lack of supervision. LPA was unable to interview foster youth due to the foster youth's age. Therfore, the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove the above-mentioned allegation. Therefore, the allegation is unsubstantiated.

No deficiencies were cited during this inspection. LPA provided a copy of the report to Program Director Sara Lucchini.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Melanie KrageTELEPHONE: (559) 650-7905
LICENSING EVALUATOR NAME: Lourey BartolomeTELEPHONE: (559) 974-5581
LICENSING EVALUATOR SIGNATURE:

DATE: 06/05/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/05/2020
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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