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Facility Evaluation Report

Momentum Work, INC. Lakeside, Santa Maria11/04/2025Licence 425850008

Capacity4
Census3
Date signed11/04/2025 11:53:57 AM
Name of licensing program analystMark Jeffries
Name of licensing program managerKelly Burley
The inspector’s account

At 8:00am on 11/04/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct a case management visit pertaining to a Serious Incident Report (SIR) of an incident that occurred at the facility on 10/29/2025 of alleged staff abuse of a client.

LPA conducted staff interviews of 6 out of 6 staff present, and conducted an in person interview of Client 1 (C1). LPA was able to ascertain that C1 was safe and in good health. In interview with C1, C1 stated that staff "smooched" pillow on C1's face, C1 stated that it did not hurt. C1 stated that Staff (S5) wouldn't listen to C1, was the reason that S5 smooched pillow on C1's face. C1 stated that "S5 dropped C1's tablet on the ground, and C5 was going to pay for that." C1 stated that the tablet was not broken or hurt. In interview with Staff 1 (S1) stated that they had been working with S5 for about 3 years and approximately 1.5 years as a direct support to C1 with S5 at Adult Day Program. S1 stated that S5 was exceptional with S1 and has never witnessed any negative interactions between C1 and S5. S1 stated that they think that S5 was not capable of doing anything negative to C1. LPA noted that S2, S3, and S4 had no knowledge of the details of the incident that occurred on 10/29/2025. S2, S3, and S4 stated that they have never witnessed S5 do anything negative to any of the clients. LPA conducted an interview with facility administrator, Edward Maladonado, who stated, C1 and S5 had worked together at the Adult Day Program (ADP) for several years as a one on one. Administrator stated that S5 is an excellent employee and has developed a positive relationship with C1 over the years at the ADP. Administrator that they are currently investigating the allegations to the SIR and S5 is currently on administrative leave. Administrator provided training documents for S5. LPA will require more time to conduct interviews and may return at a later date to address the incident that occurred on 10/29/2025.

Exit interview, report read, and report provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction