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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370800930
Report Date: 08/18/2025
Date Signed: 08/18/2025 11:46:28 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/13/2025 and conducted by Evaluator Angelica Boyles
COMPLAINT CONTROL NUMBER: 08-AS-20250613154008
FACILITY NAME:ST MADELEINE SOPHIES CENTERFACILITY NUMBER:
370800930
ADMINISTRATOR:DEBRA EMERSONFACILITY TYPE:
775
ADDRESS:2119 E. MADISON AVENUETELEPHONE:
(619) 442-5129
CITY:EL CAJONSTATE: CAZIP CODE:
92019
CAPACITY:400CENSUS: DATE:
08/18/2025
UNANNOUNCEDTIME BEGAN:
08:56 AM
MET WITH:Mark Fisher - Dirctor
Debra Emerson - CEO		TIME COMPLETED:
11:50 PM
ALLEGATION(S):
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Lack of supervision resulting in a client being touched inappropriately by another client.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Angelica Boyles conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced herself and disclosed the purpose of the visit to Mark Fisher Director.

On June 13, 2025, it was alleged that lack of supervision resulted in a client being touched inappropriately by another client. Client #1 (C1) reported to facility staff that Client #2 (C2) touched them inappropriately [See LIC811 Confidential Name List for identification of select person identifiers used in this report]. The Department’s investigation consisted of an unannounced facility visits, records review, as well as staff and client interviews.

(Continued on LIC9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025
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 08-AS-20250613154008
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: ST MADELEINE SOPHIES CENTER
FACILITY NUMBER: 370800930
VISIT DATE: 08/18/2025
NARRATIVE
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(Continued from LIC9099)

Records reviewed and interviews with staff revealed that the facility notified local law enforcement, The Department, and the appropriate parties of the alleged incident between C1 and C2. Per staff interviews, C1 has a history of making similar allegations and fabricating stories. Records reviewed and staff interviews revealed that C1’s account of the alleged incident changed repeatedly. During LPA interview, C1’s account of the alleged incident did not align with what was initially reported, nor could C1 report where and when the alleged incident took place. LPA interviewed C2 who reported not having touched C1 and knowing that it is wrong to touch others. Further, LPA observations during unannounced facility visits did not raise concerns regarding lack of supervision.

The Department has investigated the allegation that lack of supervision resulted in a client being touched inappropriately by another client. Based upon the information obtained during this investigation, it is determined that the preponderance of evidence was not met to support or corroborate these allegations and therefore deemed unsubstantiated.

An exit interview was conducted with Director Mark Fisher and CEO Debra Emerson to whom a copy of this report and the Licensee’s Rights (LIC9058 01/16) were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Angelica Boyles
LICENSING EVALUATOR SIGNATURE:

DATE: 08/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2