502700281-5-22-2024-27-AS-LRIS-D5HRXR-20240522132509

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 502700281
Report Date: 05/21/2024
Date Signed: 05/22/2024 10:04:43 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
04/19/2024 and conducted by Evaluator Jason Lund

COMPLAINT CONTROL NUMBER: 27-AS-20240419143748

FACILITY NAME:	LIGHTHOUSE MANOR		FACILITY NUMBER:	502700281
ADMINISTRATOR:	RABANG, CLAIRE		FACILITY TYPE:	740
ADDRESS:	2413 BECKER CT		TELEPHONE:	(209) 345-6301
CITY:	MODESTO	STATE: CA	ZIP CODE:	95358
CAPACITY:	6	CENSUS: 5	DATE:	05/21/2024
		UNANNOUNCED	TIME BEGAN:	02:00 PM
MET WITH:	Administrator Claire Rabang		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Client was sexually abused while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jason Lund arrived unannounced to complete a complaint investigation. LPA Lund met with Administrator Claire Rabang and explained the reason for the visit. Census: 5

Client was sexually abused while in care - Based on interviews conducted with Reporting Party (RP), witnesses and Client (C1). C1 lived at Lighthouse Manor from Mid-August 2020 through November 2022. C1 is currently living with family. C1 has had service coordinator with Valley Mountain Regional Center (VMRC) for over five years. VMRC staff would meet with C1 on a quarterly basis and C1 never stated any sexually abuse while living at Lighthouse Manor.

Unsubstantiated

Estimated Days of Completion: 90

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (916) 969-9685
LICENSING EVALUATOR NAME: Jason Lund	TELEPHONE: (916) 223-6752
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024

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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Control Number 27-AS-20240419143748

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: LIGHTHOUSE MANOR	FACILITY NUMBER: 502700281
	VISIT DATE: 05/21/2024

NARRATIVE

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Based on interviews conducted with Reporting Party (RP), witnesses and Client (C1) the information provided, it was unclear if facility client was sexually abused while in care therefore the allegation was deemed UNSUBSTANTIATED.

The Department (CCLD) has found the allegations. Unsubstantiated. A finding that the complaint allegation(s) are UNSUBSTANTIATED means that although the allegation(s) may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred. An exit interview was, and report left.

SUPERVISOR'S NAME: Lisa Rios	TELEPHONE: (916) 969-9685
LICENSING EVALUATOR NAME: Jason Lund	TELEPHONE: (916) 223-6752
LICENSING EVALUATOR SIGNATURE:	DATE: 05/21/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/21/2024

LIC9099 (FAS) - (06/04)

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