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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 507004864
Report Date: 08/26/2021
Date Signed: 08/26/2021 11:47:31 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, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/26/2021 and conducted by Evaluator Jason Lund
COMPLAINT CONTROL NUMBER: 27-AS-20210526115759
FACILITY NAME:UNITED CEREBRAL PALSY ASSOC., INC. OF STAN. COUNTYFACILITY NUMBER:
507004864
ADMINISTRATOR:MARTIN, CHRISTINAFACILITY TYPE:
775
ADDRESS:959 E. MONTE VISTA AVE, BLD 1TELEPHONE:
(209) 577-2122
CITY:TURLOCKSTATE: CAZIP CODE:
95381
CAPACITY:60CENSUS: 0DATE:
08/26/2021
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Program Manager Marisol MorenoTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff sexually abused client.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 8/26/2021, Licensing Program Analyst (LPA) Jason Lund arrived at the facility unannounced to complete a complaint investigation regarding the above allegation. LPA Lund meet with Program Manager Marisol Moreno and explained the reason for the visit.

The Department of Social Services along with collaboration with Turlock Police Department investigated the complaint above. Based on interviews of staff and witness there was an lack of evidence for the allegation.

Although the allegation may be valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview was conducted with Program Manager Marisol Moreno and a copy of report was left.
Unsubstantiated
Estimated Days of Completion: 90
SUPERVISORS NAME: Stephenie Doub
LICENSING EVALUATOR NAME: Jason Lund
LICENSING EVALUATOR SIGNATURE:

DATE: 08/26/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/26/2021
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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