Complaint Investigation Report

366408869-10-25-2021-18-AS-NBRN-C88LQJ-20211028085736

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 1650 SPRUCE ST STE 200 MS29-27

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/13/2021 and conducted by Evaluator Shaunte Henry

COMPLAINT CONTROL NUMBER: 18-AS-20210913102616

On 10/25/21 Licensing Program Analyst (LPA) Shaunte Henry conducted an unannounced visit for the purpose of delivering the findings to the above allegations. The LPA met with Administrator Mayra Diaz, explained the purpose of the visit and was granted entry.

The investigation, which consisted of interviews and record review, revealed the following. During an interview with the administrator, it was reported that Client 1 (C1) AWOL'd from the home on 9/10/21 through a bedroom window. C1 returned to the home unharmed via police escort on the same day. During an interview with C1, it was reported that they did AWOL from the home on 9/10/21.

Based on the LPA's observations and interviews, which were conducted, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 & Chapter 6) is being cited on the attached LIC9099D. An exit interview was conducted where this report, 9099D and LIC 811 were discussed with and provided to Mayra Diaz.