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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 486804269
Report Date: 03/28/2025
Date Signed: 03/28/2025 12:57:02 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/09/2025 and conducted by Evaluator Caitlynn Felias
COMPLAINT CONTROL NUMBER: 21-AS-20250109150006
FACILITY NAME:BEACON DAY PROGRAMFACILITY NUMBER:
486804269
ADMINISTRATOR:SANTIAGO, ARNOLDFACILITY TYPE:
775
ADDRESS:320 CAMPUS LANE SUITE DTELEPHONE:
(707) 639-9979
CITY:FAIRFIELDSTATE: CAZIP CODE:
94534
CAPACITY:45CENSUS: 28DATE:
03/28/2025
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Program Administrator, Arnold SantiagoTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Sexual assault resulting in injury
INVESTIGATION FINDINGS:
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At approximately 11:45AM, Licensing Program Analyst (LPA) Felias arrived unannounced to deliver findings for the above allegation and met with Program Administrator, Arnold Santiago. Reporting Party (RP) alleges in two separate complaints – one investigated at Beacon Day Program complaint #21-AS-20250109150006, and one investigated at Care Great care facility complaint # 21-AS-20250109152954 – that Client 1 (C1) incurred injuries as the result of sexual assault at either location.

LPA conducted 10-day investigation visit at Beacon Day Program on 01/10/2025 and made observations, conducted interviews, and obtained documents. LPA interviewed the Administrator and Staff 1 (S1), which revealed conflicting information concerning C1 engaging in ongoing self-injurious behaviors. Additionally, LPA received email communication from C1’s responsible party stating they observed self-injurious behaviors resulting in bruising when C1 visited. Lastly, LPA was informed by Licensee that North Bay Regional Center
Continued on LIC9099
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Caitlynn Felias
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025
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 21-AS-20250109150006
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: BEACON DAY PROGRAM
FACILITY NUMBER: 486804269
VISIT DATE: 03/28/2025
NARRATIVE
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Continued from LIC9099

and their Quality Assurance Specialist investigated the situation which included having C1’s behaviorist conduct a day-long site visit to observe, and this led to the conclusion that C1’s injuries were self-inflicted and not a result of sexual assault. Licensee stated that C1’s psychiatrist agreed with this conclusion. Interview conducted with North Bay Regional Center stated that on 02/14/2025, a meeting was held with C1's psychiatrist, primary care physician, behaviorist, residential home, and responsible party where it was agreed that C1's bruises were self-inflicted. During the meeting, C1's behavior plan and appropriate interventions and safety measures were discussed. Per North Bay Regional Center, C1's behavior plan will be updated accordingly.

Based on record review, interviews conducted, and observations made, the allegations of sexual assault resulting in injury is UNSUBSTANTIATED. A finding that the complaint allegation is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur.

No Deficiencies cited during visit.

Exit interview conducted. Copy of report discussed and provided to Administrator. Signature on form confirms receipt of documents.
SUPERVISORS NAME: Victoria Bertozzi
LICENSING EVALUATOR NAME: Caitlynn Felias
LICENSING EVALUATOR SIGNATURE:

DATE: 03/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2