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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 496803428
Report Date: 12/28/2022
Date Signed: 01/18/2023 09:32:57 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, 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
08/15/2022 and conducted by Evaluator Cheyenne McCambridge
PUBLIC
COMPLAINT CONTROL NUMBER: 21-CR-20220815134225
FACILITY NAME:MUIR WOOD LLC - SKILLMAN SOUTHFACILITY NUMBER:
496803428
ADMINISTRATOR:SOWLE, SCOTTFACILITY TYPE:
730
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY:10CENSUS: DATE:
12/28/2022
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Bryan BowenTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Minors were sexually assaulted by other minors while in care.
Minors engaged in inappropraite sexual behaviors toward other minors while in care.
INVESTIGATION FINDINGS:
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On the above date, Licensing Program Analyst (LPA) Cheyenne McCambridge met with Cheif Operating Officer Bryan Bowen regarding a complaint investigation at the group home. The purpose of the meeting was to deliver the findings for the above complaint allegations. The investigation was conducted by Community Care Licensing (CCL) Investigations Branch Special Investigator Jorge Martinez and included interviews with staff, current and former clients, and the reporting party. In addition Sonoma County's Sheriffs report and facility records and files were reviewed.

Interviews with staff revealed no observed incidents of inappropriate touching by the clients. All clients stated the behavior was juvenile and immature, versus sexual in nature. Clients stated staff were always
present, engaged, and never allowed any inappropriate behavior. Per clients, staff promptly redirected
any inappropriate behavior and documented all incidents. Any behavior unacceptable did not go
without redirection, additional treatotnent, or a consequence. All clients said staff provided a safe
environment and were swift to correct unsafe behavior.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISOR'S NAME: Zaid HakimTELEPHONE: (707) 320-3944
LICENSING EVALUATOR NAME: Cheyenne McCambridgeTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2022
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 2
Control Number 21-CR-20220815134225
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: MUIR WOOD LLC - SKILLMAN SOUTH
FACILITY NUMBER: 496803428
VISIT DATE: 12/28/2022
NARRATIVE
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There is a lack of clear evidence to make a determination as to whether a regulatory violation did occur. This department has investigated the allegations, and although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that minor was sexually assaulted by another minor in care; therefore, the above allegation is unsubstantiated.
Appeal rights were provided and discussed, and no deficiencies were cited. An exit interview was conducted and a copy of the report was sent to the facility.
SUPERVISOR'S NAME: Zaid HakimTELEPHONE: (707) 320-3944
LICENSING EVALUATOR NAME: Cheyenne McCambridgeTELEPHONE: (707) 588-5026
LICENSING EVALUATOR SIGNATURE:

DATE: 12/28/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/28/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2