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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 557001183
Report Date: 08/22/2024
Date Signed: 08/22/2024 02:47:11 PM

Substantiated


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
04/24/2024 and conducted by Evaluator Maja Jensen
COMPLAINT CONTROL NUMBER: 27-AS-20240424162851
FACILITY NAME:VALLEY OAKS FAMILY HOMEFACILITY NUMBER:
557001183
ADMINISTRATOR:MONA B. GASKILLFACILITY TYPE:
735
ADDRESS:16649 ANDERSON ROADTELEPHONE:
(209) 928-1196
CITY:SONORASTATE: CAZIP CODE:
95370
CAPACITY:8CENSUS: 7DATE:
08/22/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Mona GaskillTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff engaged in an inappropriate sexual relationship with resident
INVESTIGATION FINDINGS:
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On 8/21/24 Licensing Program Analyst (LPA) Maja Jensen arrived at facility to deliver findings in to the above listed allegation. The Licensee requested the meeting be held off site. LPA Jensen met with Mona Gaskill at a coffee shop at 13781 Mono Way in Sonora and explained the purpose of today's visit.

The facility's staff member (S1) was having an inappropriate relationship with resident 1(R1) off site. A Tuolumne County Sheriff's Office Segeant interviewed R1 and R1 advised the Sergeant that the relationship was consentual. Per the Tuolumne County Sheriff's Office report R1 reported that S1 put their mouth on R1's genitalia. The Department interviewed R1 and he did not make any disclosures. The Administrator, staff and all residents were interviewed and all denied seeing or hearing anything inappropriate between S1 and R1. A close contact of R1 was in possesion of a recording where R1 and S1 are in a car having a conversation. S1 is overheard telling R1 how much they love them and how they would have sex with them if that was something R1 wanted to do. In the recording S1 stated stop kissing me and holding my hand unless you mean it. S1 was interviewed and denied the allegation.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Maja Jensen
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2024
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 3
Control Number 27-AS-20240424162851
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: VALLEY OAKS FAMILY HOME
FACILITY NUMBER: 557001183
VISIT DATE: 08/22/2024
NARRATIVE
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Based on the recording made by S1's close contact and R1's admission to the Tuolumne County Sheriff's Office the allegation of staff engaged in an inappropriate sexual relationship with resident is SUBSTANTIATED. A finding of substantiated means that the preponderance of evidence standard has been met.

Copies of assessments from R1's resident file were made while at the facility. S1 no longer works for this Licensee. The Licensee has been advised that if she has knowledge of continued contact and/or suspected abuse between R1 and S1 it should be reported to all appropriate agencies.

The following deficiencies are being cited from the California Code of Regulations, Title 22, and California Health and Safety Code (HSC). This incident is currently under review and a future civil penalty may apply based on 1548 HSC. Failure to correct the deficiencies may also result in civil penalties. Exit interview conducted and appeal rights provided.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Maja Jensen
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 27-AS-20240424162851
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: VALLEY OAKS FAMILY HOME
FACILITY NUMBER: 557001183
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/22/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/22/2024
Section Cited
CCR
80072(a)(1)
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Personal Rights
...each client shall have personal rights which include, but are not limited to, the following:
To be accorded dignity in his/her personal relationships with staff and other persons. This requirement was not met as evidenced by:
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The Licensee agrees to develop a plan to be approved by the Department for protecting residents from sexual or any other type of abuse.
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Based on the Tuolumne County Sheriff's Office report and an audio recording a staff member engaged in an inappropriate sexual relationship with a resident in care. This poses an immediate risk to the health, safety and personal rights of resdients in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Lisa Rios
LICENSING EVALUATOR NAME: Maja Jensen
LICENSING EVALUATOR SIGNATURE:

DATE: 08/21/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/21/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3