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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 455002199
Report Date: 11/27/2023
Date Signed: 11/27/2023 09:52:40 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/22/2023 and conducted by Evaluator Donna Gurriere
COMPLAINT CONTROL NUMBER: 59-AS-20230922162516
FACILITY NAME:SCS LOREN ROBINSON CENTERFACILITY NUMBER:
455002199
ADMINISTRATOR:CRAVENS, JENNIFERFACILITY TYPE:
775
ADDRESS:900 B TWIN VIEW BLVD.TELEPHONE:
(530) 247-8324
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:60CENSUS: 53DATE:
11/27/2023
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:ALICIA ELLER-DILLMANTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Facility staff failed to address a resident’s behavioral needs.
INVESTIGATION FINDINGS:
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On 11/27/23 Donna Gurriere, Licensing Program Analyst (LPA) arrived at the facility unannounced to deliver final findings regarding a complaint that was received on 09/22/23. LPA Gurriere met with Alicia Eller-Dillman, Supervisor and explained the purpose of the visit.

Facility staff failed to address a resident’s behavioral needs.

During the interview process, the licensee, the administrator, two staff persons and two residents were interviewed. In addition, three staff persons from the resident’s day program were interviewed. Documents were received and reviewed to include the Individual Program Plan (IPP), the admission agreement, medical/dental care record, and the facility resident logs.

continued
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Donna Gurriere
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023
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 59-AS-20230922162516
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SCS LOREN ROBINSON CENTER
FACILITY NUMBER: 455002199
VISIT DATE: 11/27/2023
NARRATIVE
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continued

During the investigation process, it was reported that an incident occurred at the day program in that a female resident from the facility went to her day program and it was alleged that a male resident brushed up against her breast. It is noted that the residents' consider themselves “friends, boyfriend and girlfriend.” Both residents were interviewed, and it was reported by the male resident that he went to give the female resident a hug and he “accidentally” touched the female resident’s breast. The female resident did not indicate that it was an issue. It was reported by staff later that night, at the resident’s home facility, that the residents’ spoke with one another as they usually do, and that the female resident did not act bothered or report anything unusual that happened at the day program. The allegation was an accidental incident that occurred at the day program, and staff were not required to report it.

Although the above allegations mentioned may have happened, or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are Unsubstantiated.
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Donna Gurriere
LICENSING EVALUATOR SIGNATURE:

DATE: 11/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/27/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2