405800130-2-25-2022-29-AS-KBUY-CC3S7B-20220228123715

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 405800130
Report Date: 02/25/2022
Date Signed: 02/25/2022 03:53:28 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, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/30/2020 and conducted by Evaluator Rachael De Leon

COMPLAINT CONTROL NUMBER: 29-AS-20201230092308

FACILITY NAME:	C.A.L.L.-RAMONA HOUSE		FACILITY NUMBER:	405800130
ADMINISTRATOR:	JONI CHAPMAN		FACILITY TYPE:	735
ADDRESS:	3355 RAMONA ROAD		TELEPHONE:	(805) 466-2909
CITY:	ATASCADERO	STATE: CA	ZIP CODE:	93422
CAPACITY:	4	CENSUS: 4	DATE:	02/25/2022
		UNANNOUNCED	TIME BEGAN:	01:45 PM
MET WITH:	Jamie West, House Manager		TIME COMPLETED:	02:25 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Resident was sexually assulted while in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) De Leon conducted a subsequent complaint visit to deliver findings for the above allegation. LPA met with Jamie West, House Manager and explained the purpose for the visit.

On 12/29/2020, the Department received a complaint regarding an allegation of sexual abuse. It was alleged that Staff #1 (S1) inappropriately touched Resident #1 (R1) on her private areas. The complaint was referred to Community Care Licensing Investigations Branch (IB) and assigned to Investigator Elisia Rippe. The investigation was worked jointly with Atascadero Police Department.

Continued 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2022

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 3

Control Number 29-AS-20201230092308

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: C.A.L.L.-RAMONA HOUSE	FACILITY NUMBER: 405800130
	VISIT DATE: 02/25/2022

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

On 12/30/2020, from 12:15pm to 12:45pm, Licensing Program Analyst (LPA) Rachel De Leon and Tri-Counties Regional Center (TCRC) Quality Assurance Specialist (QAS) Jeff Edler conducted the initial complaint visit. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, the complaint visit was conducted virtually by FaceTIme with House Manager Jamie West. LPA De Leon explained the purpose of the visit and requested copies of pertinent documents relevant to the investigation. LPA De Leon determined further investigation was needed.

On 01/05/2021, Investigator Rippe reviewed the Atascadero Police Report #20-3037. The report stated on 12/27/2020, Officer Robert Hammer received a call from the Administrator Jamie West stating they had received information on 12/26/2020 that R1 accused S1 of sexually touching R1. R1 had called R1’s representative to report that R1 had been touched sexually. R1’s representative contacted the administrator on 12/26/2020. Administrator stated during the day, R1 told staff that S1 had touched R1’s “pee pee” and “bottom” the prior night and did not want S1 to come into R1’s room.

The Administrator spoke to R1 about the allegations. R1 said “false” when asked if S1 had touched R1 inappropriately. The administrator further questioned R1 and R1 stated they had made up a story and lied about S1 touching R1. R1 is diagnosed with autism and has accused staff of battering in the past. R1 had previously accused a staff member of hitting R1 but that was unfounded. The investigation was forwarded to Detective Ryan Sloan of the Atascadero Police Department for review.

On 1/12/2021 at 1:34pm, Investigator Rippe spoke with Detective Sloan. Detective Sloan stated R1 disclosed on 12/26/2020 at 5:00pm to Staff #2 (S2) and Staff #3 (S3) that S1 had touched R1 inappropriately. S2 recorded some of the disclosure on video and gave a copy of the recording to the detective. Both staff reported R1’s allegation to the Administrator.

Continued 9099-C

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 29-AS-20201230092308

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: C.A.L.L.-RAMONA HOUSE	FACILITY NUMBER: 405800130
	VISIT DATE: 02/25/2022

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

On 12/30/2020, a forensic interview was completed with R1. R1 did not make any disclosures that S1 had inappropriately touched R1. A Sexual Assault Response Team (SART) exam was not completed on R1 because R1 did not make any disclosures during the forensic interview. On 02/16/2021 at 10:19am, during a forensic interview, R1 disclosed the allegation of inappropriate touching by S1. On 02//22/2021, a SART exam was completed and R1 tested negative for any sexually transmitted infections.
S1 was interviewed on 01/14/2021 and 01/22/2021. S1 provided the same statement as the first interview by denying inappropriately touching R1. Detective Sloan stated there was no indication of S1 being deceptive based on the surveillance video of the facility that was reviewed.
Staff #5 (S5) was interviewed on 02/16/2021 at 1:18pm. and stated the following: R1 was a “Master Manipulator”. S5 has overheard phone conversations with R1 and R1’s friend. R1 has tried to make up stories in order to go home. R1 has said they didn’t want to live at the facility. R1 is abusive to R1’s representatives if R1 doesn’t get their way.
From 01/05/2021 to 03/18/2021, Investigator Rippe and Detective Sloan conducted numerous interviews with Administrator, staff, residents and witnesses. During the course of the investigation, R1 made several inconsistent statements during a forensic interview about the allegation. S1 denied inappropriately touching R1. Staff #4 (S4) was interviewed and denied inappropriate touching of R1. R1’s representative stated R1 had not made any prior disclosure that any staff or resident had inappropriately touched R1. Staff #5 (S5) described R1 as a master manipulator that R1 had made up stories in order to go home. A SART exam was completed on R1 and was a normal reading with negative findings. R1 was tested for sexually transmitted infections and the results were negative. An interview conducted with Resident #2 (R2) did not provide any information related to the current complaint allegation. The Atascadero Police Department case was closed and referred to the San Luis Obispo (SLO) District Attorney (DA) office for review of charges against S1. On 06/10/2021, the DA declined charges against S1.
Based on the information and documentation obtained and reviewed, the Department does not have sufficient evidence to support the above allegation. Therefore, the above allegation is deemed Unsubstantiated at this time.

Exit interview, copy of report given.

SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Rachael De Leon
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 3