374602824-9-29-2023-08-AS-SJAB-CW5PUL-20230929113742

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602824
Report Date: 09/28/2023
Date Signed: 09/29/2023 08:23:19 AM

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
08/04/2023 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20230804110553

FACILITY NAME:	CPSRC BMDTP-LAKESIDE		FACILITY NUMBER:	374602824
ADMINISTRATOR:	NANCY ELDRIDGE		FACILITY TYPE:	775
ADDRESS:	11757 TOPO LANE		TELEPHONE:	(619) 561-7405
CITY:	LAKESIDE	STATE: CA	ZIP CODE:	92040
CAPACITY:	30	CENSUS: 30	DATE:	09/28/2023
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Assistant Director Crystal Cave		TIME COMPLETED:	02:25 PM

ALLEGATION(S):

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Neglect/lack of supervision resulting in sexual abuse of client.

INVESTIGATION FINDINGS:

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LPA Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to deliver investigative findings on the above-listed complaint allegation. LPA Correia met with Assistant Director Crystal Cave to whom was explained the purpose for the visit.

The Department’s investigation consisted of staff and outside source interviews as well as resident, and outside source records reviews.

It was alleged that on July 31, 2023, lack of supervision resulted in sexual abuse of Client 1 (C1). Staff interviews revealed C1 was lying down in the quiet room with the door open to a common area where the rest of the clients were sitting on the floor waiting for Staff 1 (S1) to put on a movie. An interview with S1 revealed when they turned around from putting in a movie, they saw that the door to the quiet room had been closed. S1 immediately knocked on the door and grabbed the keys directly adjacent to the room. S1 revealed before having the opportunity to unlock the door Client 2 (C2) opened the door and S1 saw C1’s pants and undergarments were down around their ankles. C2 was discharged from the program that day. An interview conducted with Staff 2 (S2) corroborated the series of events. The interview with S1 revealed C1 was assessed at the facility and showed no signs of abuse, and a review of outside source records cooroborated C1 showed no evidence of being sexually abused.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 09/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/28/2023

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-20230804110553

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: CPSRC BMDTP-LAKESIDE	FACILITY NUMBER: 374602824
	VISIT DATE: 09/28/2023

NARRATIVE

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Based on interviews and a records review, the above allegation was is determined to be unsubstantiated. A finding that the complaint 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.

An exit interview was conducted with Assistant Director Cave whom was provided a copy of this report and Licensee Appeal Rights (LIC 9058) have been given for facility records. Signature below confirms receipt of the documents.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 09/27/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/27/2023

LIC9099 (FAS) - (06/04)

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