<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609628
Report Date: 05/03/2023
Date Signed: 05/03/2023 07:52:25 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/22/2023 and conducted by Evaluator Melissa Spaeth
COMPLAINT CONTROL NUMBER: 31-AS-20230322165715
FACILITY NAME:CORNERSTONE FACILITIES, LLCFACILITY NUMBER:
197609628
ADMINISTRATOR:ANDERSON MUNOZFACILITY TYPE:
735
ADDRESS:504 W AVE H13TELEPHONE:
(818) 687-3830
CITY:LANCASTERSTATE: CAZIP CODE:
93534
CAPACITY:4CENSUS: 4DATE:
05/03/2023
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Jessica CruzTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident was sexually abused while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
This is an amended copy of the previous Licensing report delivered on 04/07/2023. The report was amended to add additional information.

On 5/03/2023, Licensing Program Analyst (LPA) Melissa Spaeth arrived at the facility to complete investigation of the above noted allegation. LPA was greeted by Administrator. LPA stated the purpose of the visit. LPA confirmed there are four clients living at the facility.

It was alleged that the client #1 (C1) was sexually molested by the facility staff #1 (S1) on 03/20/2023 and on 03/21/2023.

To investigate the allegation, on 4/07/2023 at 9:00 am LPA requested and reviewed LIC500 which revealed that there are nine (9) staff members working at the facility. LPA interviewed six (6) out of nine (9) staff members including S1 on 3/24/2023, 3/29/2023, and 3/30/2023.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2023
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 31-AS-20230322165715
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: CORNERSTONE FACILITIES, LLC
FACILITY NUMBER: 197609628
VISIT DATE: 05/03/2023
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
S1 denied sexually molesting C1. Other staff members revealed that they had no knowledge of any sexual assault towards C1 or other clients.

On 3/29/2023 at 11:00 am LPA Spaeth interviewed two (02) out of four (04) clients, C1 and C2. C2 had no knowledge of the alleged incident. C1 indicated that they were sexually molested. However, C1 was unable to provide credible information regarding the date, time and other details of the alleged incidents.
To obtain additional information, on 04/03/2023 LPA Spaeth requested a police report which was received on 04/24/2023. As per police report, due to contradicting information provided by C1, they were unable to obtain sufficient evidence to support the case.

Based on overall interviews, and review of pertinent records, there is insufficient evidence to support the allegation. Therefore, the allegation is unsubstantiated at this time

Exit interview conducted and a copy of the signed report was given to the PERSON.
SUPERVISORS NAME: Cassandra Harris
LICENSING EVALUATOR NAME: Melissa Spaeth
LICENSING EVALUATOR SIGNATURE:

DATE: 05/02/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/02/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2