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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370808112
Report Date: 02/28/2024
Date Signed: 02/28/2024 03:30:06 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
05/19/2023 and conducted by Evaluator Dawn Segura
COMPLAINT CONTROL NUMBER: 08-AS-20230519112142
FACILITY NAME:FANCOR GUEST HOMEFACILITY NUMBER:
370808112
ADMINISTRATOR:HUERTAS, FANNIEFACILITY TYPE:
735
ADDRESS:631-651 TAFT AVENUETELEPHONE:
(619) 588-1761
CITY:EL CAJONSTATE: CAZIP CODE:
92020
CAPACITY:44CENSUS: 44DATE:
02/28/2024
UNANNOUNCEDTIME BEGAN:
03:15 PM
MET WITH:Myra Palmer, AdministratorTIME COMPLETED:
03:40 PM
ALLEGATION(S):
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Client was sexually abused by another client in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced visit to deliver investigative findings. LPA introduced herself, was granted entry into the facility, and met with Myra Palmer, Administrator, to whom she disclosed the reason for the visit.

Community Care Licensing (CCL) has investigated the above-listed complaint allegation. The investigation consisted of a tour of the facility, review of facility and outside source records, and interviews of staff and outside sources.

It was reported to CCL that, at approximately 2:00 AM on May 16, 2023, Client 2 (C2) entered Client 1’s (C1) room and forced him/herself on C1 in a sexually abusive manner.

Interviews conducted during the course of the investigation yielded that at the time the incident allegedly occurred, C1’s roommate was in the same room in a nearby bed, approximately 4 feet away, with a light on
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024
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-20230519112142
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: FANCOR GUEST HOME
FACILITY NUMBER: 370808112
VISIT DATE: 02/28/2024
NARRATIVE
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near the bed; however, no one, other than the clients who share the room, was heard or seen in the room during the night or early morning hours.

Records reviewed during the investigation revealed that C2 agreed to provide a DNA sample, which C2 did. Additionally, a Sexual Assault Response Team (SART) exam was conducted on C1 later in the day on the date the alleged incident was reported. C1’s clothing that was worn at the time of the alleged assault and bedding that was on the bed when the assault allegedly occurred were also examined. The results of the SART exam and examination of other evidence collected produced no evidence that the alleged incident ever occurred.

The investigation produced no evidence to corroborate the allegation. Based upon a lack of evidence to substantiate the allegation, the allegation is unsubstantiated. This finding means that there is not a preponderance of evidence to prove that the alleged violation occurred.

An exit interview was conducted with Myra Palmer, and copies of this report and Licensee/Appeal Rights (LIC 9058) were provided to the Administrator at the conclusion of the visit. Her signature below serves as acknowledgment of receipt of copies of the report and rights.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:

DATE: 02/28/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/28/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2