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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496800179
Report Date: 08/26/2021
Date Signed: 08/26/2021 10:18:25 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/10/2021 and conducted by Evaluator David Leibert
COMPLAINT CONTROL NUMBER: 21-AS-20210810143940
FACILITY NAME:WINDSOR HOUSEFACILITY NUMBER:
496800179
ADMINISTRATOR:HALL, DARIANFACILITY TYPE:
735
ADDRESS:1386 SANDERS ROADTELEPHONE:
(707) 838-9489
CITY:WINDSORSTATE: CAZIP CODE:
95492
CAPACITY:4CENSUS: 3DATE:
08/26/2021
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Darian HallTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not report prior sexual assault.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst Leibert arrived unannounced for the purpose of delivering findings on the above captioned complaint allegation. LPA met with Darian Hall and discussed the allegation and findings. During the investigation of alleged sexual assault, client, C1, made statements suggesting that C1 was sexually assaulted by client, C2, on prior occasions. Complaint has alleged that staff were aware of the report of prior assaults but did not report the information as required by law and regulation. This Department's investigation included interviews, site visits. and document reviews. The following determinations are made: C1 did report an incident, probably in June, 2021, to staff occurring between C1 and C2, but characterized the incident as sexual "horse play" and not as an assault; While there may have been non consensual sexual assaults of C1 by C2 in the past, no evidence was found to suggest reports of sexual abuse were reported to staff by C1. While the allegation may be true, based upon statements and records reviewed, there is not a preponderance of evidence to prove the allegation did, or did not, occur. Therefore, the complaint is UNSUBSTANTIATED.

No citations issued today.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Carla Martinez
LICENSING EVALUATOR NAME: David Leibert
LICENSING EVALUATOR SIGNATURE:

DATE: 08/25/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/25/2021
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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