347001314-2-21-2024-59-AS-MSEY-D2PRMU-20240222120920

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347001314
Report Date: 02/21/2024
Date Signed: 02/21/2024 01:09:19 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/04/2024 and conducted by Evaluator Sabrina Calzada

PUBLIC

COMPLAINT CONTROL NUMBER: 59-AS-20240104085409

FACILITY NAME:	SUNRISE RESIDENTIAL CARE SERVICES, INC. (#2)		FACILITY NUMBER:	347001314
ADMINISTRATOR:	DICKEY, MAYE		FACILITY TYPE:	735
ADDRESS:	8139 WACHTEL WAY		TELEPHONE:	(916) 725-6647
CITY:	CITRUS HEIGHTS	STATE: CA	ZIP CODE:	95610
CAPACITY:	6	CENSUS: 6	DATE:	02/21/2024
		UNANNOUNCED	TIME BEGAN:	12:45 PM
MET WITH:	Mindy Gragants, Co-Administrator		TIME COMPLETED:	01:10 PM

ALLEGATION(S):

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Multiple times resident was sexually assaulted by another resident while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to provide investigative findings to a complaint received on 1/04/2024. LPA met with Luzviminda "Mindy" Graganta, Co-Administrator, and explained the purpose of the inspection. Administrator informed LPA that (4) clients were currently attending day program and (1) client was present in his room. LPA observed (2) other staff in the kitchen. Administrator, Maye Dickey, arrived at 12:54 pm with one client.

The Department investigated the above allegation. The Department conducted interviews with clients (C1 and C2), C1's Service Coordinator and the facility Co-Administrator. Documentation was reviewed, including but not limited to, a police report filed, the "24 Hour Client/Staff Monitoring Log", narrative charting notes for C1 and C2, and Individual Program Plans for C1 and C2. The results of the investigation are as follows:

The allegation states that (C1) was sexually assaulted by (C2) during the time period October 2023- December 2023.
*cont on 9099C-1...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024

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 59-AS-20240104085409

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: SUNRISE RESIDENTIAL CARE SERVICES, INC. (#2)	FACILITY NUMBER: 347001314
	VISIT DATE: 02/21/2024

NARRATIVE

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9099C-1...A forensic interview was conducted with (C1), who made consistent statements about the time of day the alleged incidents occurred to statements made in the original interview; however, (C1) was not able to provide any details as to what or how the alleged assaults occurred but was able to provide details as to other life events. (C1) also stated (C1) was "asleep" when the alleged events occurred.

Facility documentation was reviewed and supported that staff regularly checked on client (C1) during the night and that (C1) was noted to regularly be on the phone late in the evening, around 2300 hours, when the incidents were alleged to have happened. Narrative charting notes for (C1) also noted (C1) was on the phone or iPad late at night or listening to music. There is no documentation of (C2) going into (C1's) room or these clients having any interactions with each other. Additionally, (C1's) Individual Program Plan (IPP) does not have any references to (C2) or notes relating to interactions with any other clients.

Narrative charting notes and IPP were reviewed for client (C2). The charting notes document the daily activities for (C2). On both the notes and the IPP document, there are no references to (C1) or (C2) having any interactions with each other or any other clients.

Similar allegations were made in March 2023 and were previously investigated, and found to be unsubstantiated due to lack of evidence.

Based on documentation reviewed and the inconsistencies and discrepancies noted from the forensic interview, there is a lack of evidence to substantiate the allegation, and the 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

There are no deficiencies issued in this report.

Exit interview. Copy of report left at the facility.

SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Sabrina Calzada
LICENSING EVALUATOR SIGNATURE:	DATE: 02/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/21/2024

LIC9099 (FAS) - (06/04)

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