331880960-1-9-2023-18-AS-JDHS-CN2UKA-20230113143847

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331880960
Report Date: 01/09/2023
Date Signed: 01/09/2023 01:30:01 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, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/07/2022 and conducted by Evaluator Yolanda Delgado

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20220307130646

FACILITY NAME:	SIERRA RIDGE HOME		FACILITY NUMBER:	331880960
ADMINISTRATOR:	MARCAIDA, NATALIE		FACILITY TYPE:	735
ADDRESS:	30167 SIERRA RIDGE WAY		TELEPHONE:	(951) 926-9977
CITY:	MENIFEE	STATE: CA	ZIP CODE:	92585
CAPACITY:	4	CENSUS: 3	DATE:	01/09/2023
		UNANNOUNCED	TIME BEGAN:	01:05 PM
MET WITH:	Maravic Albat, Caregiver		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Resident was sexually abused by another resident.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Yolanda Delgado arrived unannounced to deliver findings for a complaint investigation into the allegation listed above. LPA met with Caregiver Maravic Albat and discussed the purpose of the visit. During the course of the investigation, the department interviewed two (2) staff and three (3) residents.
In Regard to the allegation of resident was being sexually abused by another resident; it was alleged that facility staff failed to provide adequate supervision of residents which allowed Resident #1 (R1) to sexually abuse Resident #2 (R2). The investigation revealed R1 and R2 would visit each other’s rooms that was corroborated by S1, and R3 interviews. R2 attempted to engage in kissing R1 when R1 rejected R2 advances as stated by R1’s interview. Information obtained were interviews and photos taken of alleged area of the incident was not supported or corroborated by the evidence of S1, S2, R1, R2, R3 interviews, file review documents, documents received from Sierra Ridge Home, photos of R2 former room, records of Menifee Police department.
(CONTINUED ON 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 18-AS-20220307130646

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: SIERRA RIDGE HOME	FACILITY NUMBER: 331880960
	VISIT DATE: 01/09/2023

NARRATIVE

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(CONTINUED FROM 9099)

Information obtained (S1, S2, R1, R2, R3’s interviews) from staff and additional witness interviews disclosed that no sexual activity occurred between R1 and R2 as stated by S1, S2 and R1’s interviews. Although the allegation may have happened or are valid, there is no preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

An exit interview was conducted, and a copy of this report was provided to Maravic Albat along with LIC811 – Confidential Names List.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Yolanda Delgado
LICENSING EVALUATOR SIGNATURE:	DATE: 01/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/09/2023

LIC9099 (FAS) - (06/04)

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