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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 397001860
Report Date: 10/12/2023
Date Signed: 10/12/2023 12:20:16 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
06/21/2023 and conducted by Evaluator Albert Johnson
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20230621150951
FACILITY NAME:ALAN SHORT CENTERFACILITY NUMBER:
397001860
ADMINISTRATOR:MARGARITA GARCIAFACILITY TYPE:
775
ADDRESS:928 EAST ROSE STREETTELEPHONE:
(209) 948-5759
CITY:STOCKTONSTATE: CAZIP CODE:
95202
CAPACITY:105CENSUS: 34DATE:
10/12/2023
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:T. MitchellTIME COMPLETED:
12:30 PM
ALLEGATION(S):
1
2
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9
Sexual abuse
INVESTIGATION FINDINGS:
1
2
3
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5
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9
10
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13
LPA Johnson met with the T. Mitchell to deliver findings.

Based on records reviewed, interview conducted the following was determined
R1 is diagnosed as blind and has a cognitive disability. According to R1’s family, she has the intellect of a nine year old. R1 provided conflicting information pertaining to the suspect “S1.” When asked point blank if R1 was ever touched by S1 or
any other staff member, R1 stated, “No.” R1 was interviewed by Stockton Police Department, R1 stated S1 touched her chest just below her collar bone, she did not provide any further information. R1 denied being touched anywhere else. Based on R1 not disclosing abuse on two separate occasions, the allegation is unsubstantiated.
Continued
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023
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 27-AS-20230621150951
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
FACILITY NAME: ALAN SHORT CENTER
FACILITY NUMBER: 397001860
VISIT DATE: 10/12/2023
NARRATIVE
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The Department finds the above allegation to be (US)Unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Albert Johnson
LICENSING EVALUATOR SIGNATURE:

DATE: 10/12/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/12/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2