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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 445201743
Report Date: 03/21/2023
Date Signed: 03/29/2023 11:25:23 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
02/28/2023 and conducted by Evaluator Selena Hood
COMPLAINT CONTROL NUMBER: 26-CR-20230228162351
FACILITY NAME:ABEONA HOUSEFACILITY NUMBER:
445201743
ADMINISTRATOR:EMMA SPILLNERFACILITY TYPE:
733
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:6CENSUS: 5DATE:
03/21/2023
UNANNOUNCEDTIME BEGAN:
03:25 PM
MET WITH:Emma SpillnerTIME COMPLETED:
03:35 PM
ALLEGATION(S):
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Staff is not providing adeuqate supervision to youths in care.
INVESTIGATION FINDINGS:
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On 3/21/2023 at 3:25PM, Licensing Program Analyst (LPA) Selena Hood conducted an unannounced visit to the licensed facility. The purpose of this visit was to deliver the findings for the listed allegation. LPA met with Emma Spillner, Program Manager.

During the course of the investigation, LPA conducted six confidential interviews between 3/08/2023 and 3/20/2023. LPA reviewed incident reports and the Needs and Services Plans for the clients involved.

Based on confidential interviews, the clients had eloped from the facility on 2/27/2023. Based on interviews and record review, staff had observed clients leaving the home through a bedroom window and followed the clients for approximately ten minutes. Staff lost sight of the residents, and immediately contacted law enforcement to report the residents missing.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Helga Wong
LICENSING EVALUATOR NAME: Selena Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023
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-20230228162351
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME: ABEONA HOUSE
FACILITY NUMBER: 445201743
VISIT DATE: 03/21/2023
NARRATIVE
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Based on the information listed, the allegation that staff is not providing adequate supervision to youths in care may or may not be true. The allegation has not met the preponderance of doubt and therefore the allegation is unsubstantiated.

No deficiencies were cited at this time. LPA conducted an exit interview with Emma Spillner, Program Manager, at 3:30PM whose signature confirms the receipt of the document.
SUPERVISORS NAME: Helga Wong
LICENSING EVALUATOR NAME: Selena Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 03/21/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/21/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2