392700109-5-18-2022-27-AS-LKIG-CF62TW-20220606174125

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 392700109
Report Date: 05/18/2022
Date Signed: 05/18/2022 01:44:28 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, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/07/2022 and conducted by Evaluator Bruce Jacobs

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20220107132321

FACILITY NAME:	DELTA AT THE SHERWOODS		FACILITY NUMBER:	392700109
ADMINISTRATOR:	LEAH ZUBIATE		FACILITY TYPE:	740
ADDRESS:	1215 W SWAIN ROAD		TELEPHONE:	(209) 689-3180
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95207
CAPACITY:	42	CENSUS: 39	DATE:	05/18/2022
		UNANNOUNCED	TIME BEGAN:	09:55 AM
MET WITH:	Craig Vincelet, Administrator		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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Resident was sexually assaulted by another facility resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Bruce Jacobs arrived at the facility and met with Craig Vincelet to deliver investigation findings on the above allegation. This investigation was conducted by the Investigation Branch and LPA Jacobs consisted of site inspections to the facility to conduct interviews with the facility administrator, staff and residents. Law Enforcement reports and medical records were obtained and reviewed.

This investigation concluded that a resident made an allegation of being sexually assaulted by another resident at the facility. A medical exam was performed on both the alleged victim and alleged perpetrator and there were no findings of sexual assault. The Police Department conducted an investigation and found no evidence of a physical assault. During interviews with the Police and the Investigator, both the alleged victim and alleged suspect made inconsistent statements.

The preponderance of evidence standard has not been met, therefore the above allegation is determined to be UNSUBSTANTIATED. A finding that the allegation 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.

Per California Code of Regulations (CCRs) - Title 22, Division 6, no deficiencies are being cited. Exit interview held, copy of report given.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Bruce Jacobs
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2022

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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