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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700643
Report Date: 06/01/2023
Date Signed: 06/01/2023 04:18:58 PM

Document Has Been Signed on 06/01/2023 04:18 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME:SOLSIE 2 CAREHOMEFACILITY NUMBER:
342700643
ADMINISTRATOR:FRICIA SOL-SIERRAS,CAMINAFACILITY TYPE:
735
ADDRESS:5319 APPLEHURST WAYTELEPHONE:
(209) 986-1914
CITY:ELK GROVESTATE: CAZIP CODE:
95758
CAPACITY: 4CENSUS: 4DATE:
06/01/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
03:45 PM
MET WITH:Camina SierrasTIME COMPLETED:
04:20 PM
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On June 1, 2023, Licensing Program Analyst (LPA) Vincent Moleski met with Camina Sierras, of Solsie 2 Carehome for a case management visit to follow up on a substantiated allegation of lack of supervision resulting in client being raped.

On February 22, 2022, the Department conducted a complaint investigation regarding the lack of supervision which resulted in a client (C1) being raped.

The allegation was substantiated, and the licensee was cited for a violation of California Code of Regulations (CCR) Title 22, § 80078(a) Responsibility for providing care and supervision. The licensee shall provide care and supervision as necessary to meet the client's needs. The facility was also cited for a violation of California Code of Regulations (CCR) Title 22, § 80072(a)(1)(2) Personal Rights. Each client shall have personal rights which include... (1) To be accorded dignity in his/her personal relationships with staff and other persons. (2) To be accorded safe, healthful, and comfortable accommodations, furnishings, and equipment to meet his/her needs. The licensee did not ensure client C1 is accorded with dignity, safe and healthful accommodations.

On February 18, 2022, between 11:30 p.m. to 12:00 a.m., a client (C2) snuck into C1’s bedroom while C1 was asleep and sexually assaulted C1. According to the police department report, C2 admitted to raping and sexually assaulting C1 while C1 slept in their bedroom. Medical records revealed C1’s sexual assault physical examination is consistent with C1’s report of sexual assault. Both staff who were in the facility at the time admitted that they had fallen asleep when the incident occurred.

[Continued on 809-C]
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Vincent Moleski
LICENSING EVALUATOR SIGNATURE: DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 06/01/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO AC/SC, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME: SOLSIE 2 CAREHOME
FACILITY NUMBER: 342700643
VISIT DATE: 06/01/2023
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The facility program design stated that care and supervision is provided 24/7. Per program design, on-duty staff are expected to be awake during the NOC shift. Additionally, it was learned that staff have been trained on the Program Design and the 24/7 care and supervision requirements, including that they must be awake during the NOC shift, even when clients are asleep.

Based on medical records, interviews and facility record reviews, the licensee did not ensure that care and supervision was provided at all times. Staff on duty were asleep when the incident occurred even though they were required to be awake. The Plan of Operation/Program Design requires that staff provide 24/7 care and supervision. Moreover, the licensee did not ensure C1 was accorded with dignity, safe and healthful accommodations. As a result, C1 was raped and sexually assaulted by C2 while in care.

At the time of the complaint visit on July 20, 2022, the issuance of a civil penalty was still being determined and the licensee was informed that a civil penalty might be assessed based on Health and Safety Code § 1548.

The Department has concluded an analysis and has determined that a civil penalty is warranted for physical abuse as defined in Section 15610.63 of the Welfare and Institutions Code, or resulted in serious bodily injury, as defined in Section 243 of the Penal Code.

Today, June 1, 2023, the Department is issuing a civil penalty per Health and Safety Code § 1548 for a violation that the Department constitutes as a serious bodily injury in the amount of $10,000.

A copy of the LIC 421D was given to Sierras and originals were signed.

Exit interview conducted. A copy of the report issued. Appeal Rights provided. Sierras's signature on this report acknowledges receipt of the Appeal Rights, found on page two of LIC 421D.
SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Vincent Moleski
LICENSING EVALUATOR SIGNATURE:

DATE: 06/01/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/01/2023
LIC809 (FAS) - (06/04)
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