Complaint Investigation Report

157206907-12-10-2024-24-AS-SPIY-DBX26F-20241213160705

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

11/14/2024 and conducted by Evaluator Rachel A Bruce

COMPLAINT CONTROL NUMBER: 24-AS-20241114124916

Due to lack of supervision, resident was sexually assaulted by another resident

On 12/10/2024, Licensing Program Analyst (LPA) R. Bruce arrived at the facility for an unannounced subsequent visit relating to the above allegation. LPA met with Administrator Nancy Montiano and explained the purpose of the visit and reviewed the elements of the allegations. LPA delivered the following complaint investigation finding.

The Department investigated the allegation listed above. Based on interviews conducted and records reviewed the resident has a history of making false allegations, due to her documented mental health issues. In this case the resident (alleged victim) was not able to provide factual information to investigate further. The alleged perpetrator was interviewed and was also not able to provide adequate information to investigate due to cognitive and mental health issues. Staff was not aware of any issues between the parties and there are no visiting restrictions.

Based on observation and interview of staff and residents, the above allegation is UNSUBSTANTIATED.

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