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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 507004129
Report Date: 04/25/2022
Date Signed: 04/25/2022 04:01:23 PM

Substantiated


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
02/04/2022 and conducted by Evaluator Rachel A Bruce
PUBLIC
COMPLAINT CONTROL NUMBER: 24-CR-20220204163448
FACILITY NAME:HUDSON HOMEFACILITY NUMBER:
507004129
ADMINISTRATOR:HUDDLESTON, DOLORESFACILITY TYPE:
710
ADDRESS:917 DYER LANETELEPHONE:
(209) 408-0700
CITY:MODESTOSTATE: CAZIP CODE:
95350
CAPACITY:6CENSUS: 4DATE:
04/25/2022
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Delores Huddleston, LicenseeTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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Facility did not ensure that resident received an appropriate haircut.
Facility is not meeting resident's hair care needs.
INVESTIGATION FINDINGS:
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On April 25, 2022, Licensing Program Analysts (LPA) Cynthia Galindo and Rachel Bruce conducted an unannounced visit to Hudson Home in order to deliver the findings of the above allegations and met with Dolores Huddleston, Licensee. Accompanying CCL was Community Service Liaison, Rukaiyah Jones serving as a representative from Valley Mountain Regional Center. Via telephone confrence, VMRC representatives Katina Richardson, Program Manager, and Brian Bennett, Director were also present.
On February 4, 2022 the above allegations were referred to Community Care Licensing for investigation. The investigation included an inspection of the Small Family Home (SFH), interviews with the Reporting Party, Administrator, Facility Staff, Mountain View Regional Center staff, School Personnel, and client’s biological family members. Clients are non-verbal and unable to provide a statement or participate in an interview. A comprehensive review of staff, client, and administrative records was also conducted.

The complaint outlines the following substantiated allegations:
(continued)

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Juanita Arroyo
LICENSING EVALUATOR NAME: Rachel A Bruce
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2022
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 5
Control Number 24-CR-20220204163448
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: HUDSON HOME
FACILITY NUMBER: 507004129
VISIT DATE: 04/25/2022
NARRATIVE
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1. Staff did not ensure that client received an appropriate haircut. Photos of C1 were obtained before and after the haircut which reveal that the hair cut was too short for the type of hair C1 has. Additionally, licensee did not obtain prior authorization to cut C1’s hair from biological parent or county social worker.
2. Facility is not meeting resident’s hair care needs. Interviews confirm the haircut was done because C1’s hair needs were not being met. Interviews and record review reveal licensee did not provide the proper haircare products that were appropriate for C1’s hair type.
Based on the information obtained, there is a preponderance of the evidence to prove the above allegations are substantiated. Interviews and record review confirm the above.
Deficiencies were cited. A copy of the report and appeal rights was provided to the facility.
SUPERVISORS NAME: Juanita Arroyo
LICENSING EVALUATOR NAME: Rachel A Bruce
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2022
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 24-CR-20220204163448
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: HUDSON HOME
FACILITY NUMBER: 507004129
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/25/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Request Denied
Type A
05/02/2022
Section Cited
CCR
83072(d)
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Personal Rights The licensee shall ensure each child... is accorded the personal rights specified in WIC section 16001.9...(a) ..that all minors and nonminors in foster care shall have the following rights: (25)To have caregivers and child welfare personnel who have received instruction on cultural competency. This requirement was not met as evidenced by:
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Licensee will train staff on culturally appropriate hair care products and hair cutting as well. Prior to providing a haircut, staff will ensure that permission is obtained from the appropriate party.
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Client received an inappropriate haircut and was not provided with culturally appropriate hair care products. This poses an immediate risk to the health and safety of clients in care.
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Documentation of this training will be provided by the due date of May 2, 2022.
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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: Juanita Arroyo
LICENSING EVALUATOR NAME: Rachel A Bruce
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 5