370800930-9-25-2025-08-AS-LTEZ-DM22VU-20250930174431

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 370800930
Report Date: 09/25/2025
Date Signed: 09/25/2025 04:54:10 PM

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
09/22/2025 and conducted by Evaluator Iby Strong

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20250922235031

FACILITY NAME:	ST MADELEINE SOPHIES CENTER		FACILITY NUMBER:	370800930
ADMINISTRATOR:	DEBRA EMERSON		FACILITY TYPE:	775
ADDRESS:	2119 E. MADISON AVENUE		TELEPHONE:	(619) 442-5129
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92019
CAPACITY:	400	CENSUS: 355	DATE:	09/25/2025
		UNANNOUNCED	TIME BEGAN:	10:50 AM
MET WITH:	Director Mark Fisher		TIME COMPLETED:	12:30 PM

ALLEGATION(S):

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Lack of supervision resulted in client on client sexual behavior.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Iby Strong conducted an unannounced complaint visit to initiate a complaint investigation on the above-mentioned allegation. LPA met Director Mark Fisher and discussed the purpose of the visit.

On September 22, 2025, Community Care Licensing (CCL) received a complaint alleging lack of supervision resulted in Client 1 sexual behavior on Client 2. During the investigation, LPA Strong conducted interviews, and reviewed facility records.

According to the allegation on September 17, 2025, C1 placed C2’s hand on C1’s pants and began to rub self in genital area. Interview with staff present revealed that staff were able to intervene during incident. Staff revealed that there was no skin-to-skin contact between both clients other than hands and no physical hand-to-genital touching was observed, rather it appeared from a distance that actions could have been sexual.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025

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 08-AS-20250922235031

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: 09/25/2025

NARRATIVE

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Interviews also revealed that C2 was the one who approached C1, and their interaction was only a few seconds, prior to staff intervention. Records collected revealed C1 does have a history of sexual behavior but none towards other clients, rather towards staff. Interview with Director revealed C1 will not be returning to the program. Interview with an outside source did not reveal any concerns regarding facility staff supervision. Records and interviews also established that facility had ratio of one staff to every six clients present.

Based on interviews, and record reviews there is not a preponderance of evidence to prove an alleged violations occurred; therefore the allegation is unsubstantiated. An exit interview was conducted with Director Mark Fisher and Director of Facilities Laura Purdom, to whom a copy of this report, and the Licensee/Appeal Rights were provided.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Iby Strong
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025

LIC9099 (FAS) - (06/04)

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