Facility Evaluation Report, 09/04/2024 — Cottonwood, the, Saticoy CA

Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent Case Management - Incident visit. The purpose of this visit is to conclude an investigation initiated by LPA K. Dulek during a Case Management – Incident visit conducted on 04/08/2024. LPA met with licensee administrator Floro Cortes and explained the reason for the visit.

On 04/05/2024, the Woodland Hills North Adult and Senior Care Regional Office (RO) received an incident report regarding Client #1 (C1) being sexually assaulted by roommate Client #2 (C2). The case was referred to the Community Care Licensing Division (CCLD) Investigations Branch (IB) and assigned to Investigator Laarni Santiago.

On 04/08/2024, from 1:09 p.m. to 2:35 p.m., LPA Dulek conducted an unannounced Case Management – Incident visit to the above facility. LPA Dulek initially met with House Manager Marcial San Juan. The House Manager contacted the Administrator, who arrived at the facility at 01:40pm. The LPA explained the reason for the visit was to follow up on a self-reported incident that was sent to the RO on 04/05/2024. The incident report indicated that Individual #1 (I1), who is a close confidante of Client #1 (C1), spoke with the Administrator on 04/04/2024. I1 indicated that they had a conversation with C1, in which C1 reported that they had been sexually assaulted by Client #2 (C2) on 03/21/2024 in their shared room at the facility. Also included with the incident report was an additional incident report involving a behavior incident and “5150” (danger to self or others) hospitalization of C1 that occurred on 03/21/2024. During the visit, the LPA conducted an interview with the Administrator at 01:42pm, toured the facility with Administrator at 01:55pm, and received copies of pertinent documents. No immediate health and safety concerns were noted during the facility tour. The LPA determined further investigation was required prior to issuing findings. The Administrator was advised that the incident was referred to CCLD's Investigations Branch (IB).