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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202144
Report Date: 07/29/2024
Date Signed: 07/29/2024 03:03:24 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE RO, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/11/2024 and conducted by Evaluator Paul Simien
COMPLAINT CONTROL NUMBER: 26-CR-20240711091143
FACILITY NAME:STAR TRANSITIONAL HOUSING PLACEMENT PROGRAMFACILITY NUMBER:
435202144
ADMINISTRATOR:STEUART SAMUELSFACILITY TYPE:
726
ADDRESS:811 SHERMAN OAKS AVENUETELEPHONE:
(669) 300-6298
CITY:SAN JOSESTATE: CAZIP CODE:
95128
CAPACITY:36CENSUS: 10DATE:
07/29/2024
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Vicky Taylor, AdministratorTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Facility is not providing comfortable home accommodations for minors in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paul Simien made an unannounced visit to the above listed facility main office to inform them of the findings for the above listed allegations. LPA met with Vicky Taylor, Administrator at 2:30 PM on 7/29/24.
Based on confidential interviews conducted it was determined that the allegations listed above are Substantiated. Witnesses interviewed stated that during the summers their apartments too hot. Although, their apartments have a through-the-wall AC, it only cools one area of the apartment and doesn't reach clients' rooms. Witnesses stated that they are unable to sleep in their rooms at night because it was too hot. One witness stated that their apartment gets up to 95 degrees during the day. The preponderance of evidence standard has been met, therefore the above allegations are found to be SUBSTANTIATED. As a result of this visit, there is one General Licensing Standards violation (80088 Furniture, Fixtures, Equipment, and Supplies(a)(1))The facility will be cited (see 809-Ds for details). Appeal rights were discussed and provided. Exit interview was conducted and a copy of this report was emailed to Vicky Taylor, Administrator.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Helga Wong
LICENSING EVALUATOR NAME: Paul Simien
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2024
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 26-CR-20240711091143
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN JOSE RO, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: STAR TRANSITIONAL HOUSING PLACEMENT PROGRAM
FACILITY NUMBER: 435202144
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/29/2024
Section Cited
CCR
80088(a)(1)
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80088 Furniture, Fixtures, Equipment, and Supplies (a)(1) The licensee shall maintain the temperature in rooms that clients occupy between a minimum of 68 degrees F (20 degrees C) and a maximum of 85 degrees F (30 degrees C).
This requirement is not met evidenced by;
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Facility wiil send LPA a Plan of Action regarding the temperatures in the apartments by 8/5/24. Facility will provide evidence of implementation of Plan of Action by 8/29/24 by emailing LPA photos of the changes within the apartments.
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Based on confidential interviews conducted by LPA. The temperature of the facility Apartments are too hot for clients.

This presents a potential health and safety risk for clients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Helga Wong
LICENSING EVALUATOR NAME: Paul Simien
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2024
LIC9099 (FAS) - (06/04)
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