342700471-1-5-2023-25-AS-APEZ-CMTUHM-20230106143606

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700471
Report Date: 01/05/2023
Date Signed: 01/05/2023 03:43:38 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/13/2022 and conducted by Evaluator Michael Hood

COMPLAINT CONTROL NUMBER: 25-AS-20220713150640

FACILITY NAME:	COGIR OF STOCK RANCH		FACILITY NUMBER:	342700471
ADMINISTRATOR:	DAORO-LEHNER, TRACY		FACILITY TYPE:	740
ADDRESS:	7418 STOCK RANCH RD		TELEPHONE:	(916) 725-7418
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95621
CAPACITY:	99	CENSUS: 65	DATE:	01/05/2023
		UNANNOUNCED	TIME BEGAN:	02:50 PM
MET WITH:	Ricky David Jr., Executive Director		TIME COMPLETED:	03:55 PM

ALLEGATION(S):

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Facility did not protect resident from sexual abuse

INVESTIGATION FINDINGS:

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On 1/5/2023, Licensing Program Analyst (LPA) Michael Hood arrived at the facility and met with Executive Director (ED), Ricky David Jr., to deliver findings into the complaint allegation listed above. LPA wore a surgical mask while inside the facility.

During the investigation, the Department conducted interviews and reviewed documentation pertinent to the investigation. The results of the investigation are as follows:

Allegation: Facility did not protect resident from sexual abuse

** Report continued to 9099-C **

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Michael Hood	TELEPHONE: (916) 531-7341
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2023

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 25-AS-20220713150640

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: COGIR OF STOCK RANCH	FACILITY NUMBER: 342700471
	VISIT DATE: 01/05/2023

NARRATIVE

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On 7/9/2022, resident (R1) was admitted to the facility. On 7/13/2022, R1 arrived at the hospital due to a fall. During visit, R1 reported to multiple staff and law enforcement that they had been sexually assaulted in the morning hours of 7/12/2022. A urine sample for R1 was obtained during hospital visit. Sacramento County District Attorney's Office Crime Lab (SCDAOCL) examined the sexual assault kit and urine sample collected from the hospital for R1 and did not detect any foreign bodily fluids in the sample. Criminalist from SCDAOCL indicated that R1's urine sample collected at the hospital was transferred to their office by Citrus Heights Police Department (CHPD) and stored in accordance with the DA's standard of operating procedures and not compromised.

Interviews conducted with staff indicated that only one male staff member was working in the early morning of 7/12/2022. Interviews indicated that the male staff member did not enter R1's room without another staff member present and did not have a copy of R1's room keys. Interviews with staff indicated that no unusual activity or screaming was observed coming from R1's room in the early morning of 7/12/2022.

CHPD has closed their investigation into the incident and is not pursing further investigation at this time.

Based on interviews conducted and records reviewed by the Department, the preponderance of evidence standards have not been met. Therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview was conducted with ED and a copy of this report was provided to the facility. The signature of the ED on these forms acknowledges receipt of these documents.

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Michael Hood	TELEPHONE: (916) 531-7341
LICENSING EVALUATOR SIGNATURE:	DATE: 01/05/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2023

LIC9099 (FAS) - (06/04)

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