015601391-8-4-2023-15-AS-HHUL-CWRV4W-20231019160702

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 015601391
Report Date: 08/04/2023
Date Signed: 08/04/2023 01:33:49 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/28/2023 and conducted by Evaluator Jill Clancy-Czuleger

COMPLAINT CONTROL NUMBER: 15-AS-20230228093307

FACILITY NAME:	ST. THERESE CARE HOME II		FACILITY NUMBER:	015601391
ADMINISTRATOR:	WHITE, RACHEL O		FACILITY TYPE:	740
ADDRESS:	2640 MALLARD COURT		TELEPHONE:	(510) 324-6444
CITY:	UNION CITY	STATE: CA	ZIP CODE:	94587
CAPACITY:	6	CENSUS: 4	DATE:	08/04/2023
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:			TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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Sexual Abuse- Staff masterbating infront of others

INVESTIGATION FINDINGS:

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On 08/04/2023 at 09:20 AM, Licensing Program Analysts (LPAs) J. Clancy-Czuleger arrived unannounced to deliver findings for the above allegation. LPA explained the purpose of the visit with Administrator.

On the allegation facility Sexual Abuse- Staff masturbating Infront of others. Based on record review and interviews there is a staff member who is making sexual advances towards another staff member. S1 would expose himself to S2 and ask S2 to get into bed with S1. During investigation it was shown that this only occurred between these two staff members. This does not fall under the title 22 regulations as there were now residents involved or witnessed this event. CCL does not have jurisdiction on labor issues.

Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.
Exit interview conducted and a copy of this report provided.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Harpreet Humpal
LICENSING EVALUATOR NAME: Jill Clancy-Czuleger
LICENSING EVALUATOR SIGNATURE:	DATE: 08/04/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/04/2023

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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