<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 370808597
Report Date: 05/20/2026
Date Signed: 05/20/2026 04:14:43 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
07/02/2021 and conducted by Evaluator Nacole Patterson
COMPLAINT CONTROL NUMBER: 08-AS-20210702123418
FACILITY NAME:STONE MOUNTAIN RANCHFACILITY NUMBER:
370808597
ADMINISTRATOR:ROBINSON, DEZIFACILITY TYPE:
735
ADDRESS:16585 HIGHLAND VALLEY ROADTELEPHONE:
(760) 789-4600
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY:15CENSUS: 12DATE:
05/20/2026
UNANNOUNCEDTIME BEGAN:
03:42 PM
MET WITH:Licensee Elena O'ConnorTIME COMPLETED:
04:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff caused injuries to a client while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Licensee Elena O'Connor.

On 07/02/2021 it was alleged that a staff member, S1, caused injuries to a Client, C1. C1 accused S1 of pinching them and punching them while S1 was providing care. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, outside sources, and records review. This incident was also investigated by Law Enforcement. Staff interviews revealed that there were no witnesses to the incident in question. One staff observed C1 to be agitated while being provided care by S1, however this staff did not observe S1 pinch or hit C1. Staff interviews additionally informed that S1 had peculiar behaviors, however none were related to physical abuse or indignity of residents. Management informed that no prior accusations or observations had been made that S1 improperly cared for clients. The facility conducted an internal investigation regarding the accusation. (Continued on LIC9099 p.2)
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
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-20210702123418
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: STONE MOUNTAIN RANCH
FACILITY NUMBER: 370808597
VISIT DATE: 05/20/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
(Continued from LIC9099 p.1)

S1 stated that C1 bit their finger while S1 was providing care, and while pulling away, S1's finger scratched C1's face. Attempts to contact S1 for interview were not successful.

C1 was interviewed multiple times during various investigations regarding the incident. During these interviews C1 sustained that S1 pinched their arm and punched them in the face. However, the specific number of times these actions occurred changed between the interviews. During an interview C1 claimed that S1 pinched them on the arm five (5) times and punched them. During a different interview C1 claimed that S1 pinched them and punched them ten (10) times in the face. Based on documented observations by staff and law enforcement, including photographic evidence, C1 was observed to have two quarter-sized bruises on their arm, and approximately four (4) small abrasions to the mouth. C1's injuries were inconsistent with the level of physical contact that C1 claimed.

The Law Enforcement investigation regarding the incident found that no additional staff witnessed S1 abuse or physically hurt C1, and that C1's facial injuries were inconsistent with C1's explanation that S1 punched them 10 times. The investigator indicated that while the two bruises on C1's arm could have been consistent with being pinched, they could also have been consistent with C1's skin being pinched by an object.

Records review revealed an internal investigation conducted by the facility, which showed that there were no witnesses to the incident. The investigation found no explanation of the bruises to C1's arm or abrasions to C1's face. No evidence was found that S1 was terminated due to proof that S1 physically abused C1. The law enforcement investigation showed that C1 was agitated while getting dressed with S1, and that there were no witnesses to the incident. Records showed that C1 engaged in behavior patterns of physical aggression with non-cooperation during transfers, which gives evidence to S1's claim that C1 bit them while care was being provided.

The evidence shows that C1 did suffer abrasions around their mouth and two quarter-sized bruises to their arm. The evidence does not show that S1 caused these injuries. The evidence does show that one of the cuts on C1's mouth could have been from S1 pulling their hand away due C1 biting them while being changed.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Elena O'Connor, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:

DATE: 05/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2