Complaint Investigation Report

SVS Van Nuys, Van Nuys05/28/2024Licence 197608442

Census18
Date signed05/28/2024 11:07:32 AM
The inspector’s account

Investigator Douglas conducted interviews on 12/15/2023, at approximately 12:10 p.m., with the Van Nuys Police Department (VNPD) Detective; on 01/10/2024, from approximately 11:00 a.m. to 1:40 p.m., with SVS facility program director and staff; on 01/25/2024, at approximately 4:20 p.m., attempted to contact C1’s client representative; on 02/06/2024, at approximately 3:30 p.m., with C1’s client representative; on 02/08/2024, at approximately 1:15 p.m., with hospital emergency room nurse; on 02/15/2024, at approximately 3:00 p.m., with VNPD Detective; and on 02/26/2024, at approximately 1:20 p.m., with Client #2 (C2) and Client #3 (C3). In addition, the investigator reviewed Olive View Medical Center medical records, VNPD incident report, Sexual Assault Response Team (SART) report, and facility file documents related to C1.

A review of the Olive View Medical Center report for C1 indicated the admission date as 11/16/2023 and the discharge date as 11/18/2023. The reason for C1’s admission was listed as Developmental Delay, Anxiety, Depression, presented to the emergency room with urinary retention and altered mental status after experiencing possible sexual assault at the vocational school (SVS Van Nuys Adult Day Program).

During the course of the investigation, it was revealed that on the morning of 11/16/2023, C1 was on an outing at a nearby park with several other clients and two facility staff members. C1 went into a restroom at the park with two other clients, Client #2 (C2) and Client #3 (C3). Moments later, C1 ran out of the restroom crying and in distress. During the investigation, the staff members present at the park that morning were interviewed. They acknowledged C1 has never acted like that in the 11 years C1 has been a client at the facility. They stated they asked C1 if any of the other clients in the restroom did anything to C1. C1 stated “No.” Later that morning, C1 and C1’s Client Representative were transported to the emergency room by the facility program director. While at the hospital, it was discovered that C1 had excess urine accumulation in their kidneys that caused swelling of the kidney. This typically causes pain during urination. However, a sexual assault examination was conducted on C1. Per the exam, it was discovered that two abrasions were observed in C1’s anal canal. However, the size of the abrasions was not indicated in the exam report. Also indicated in the SART report, was that there was “no finding” following a physical examination of C1.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction