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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 019200471
Report Date: 06/15/2023
Date Signed: 06/15/2023 12:09:26 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
11/22/2021 and conducted by Evaluator Daisy Panlilio
COMPLAINT CONTROL NUMBER: 15-AS-20211122120258
FACILITY NAME:HEIWA GROWTH HOUSEFACILITY NUMBER:
019200471
ADMINISTRATOR:YUKA ONOFACILITY TYPE:
735
ADDRESS:2686 HILLCREST AVENUETELEPHONE:
(510) 677-6889
CITY:HAYWARDSTATE: CAZIP CODE:
94542
CAPACITY:6CENSUS: 6DATE:
06/15/2023
UNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Melinda Kakalia, AdministratorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not prevent sexual interactions between clients while in care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 06/15/23 at 11:30 AM, Licensing Program Analyst (LPA) D Panlilio conducted an unannounced subsequent complaint visit to deliver the finding of above allegation. LPA explained the purpose of the visit with administrator (ADM).

Allegation: Staff do not prevent sexual interactions between clients while in care
Investigation Finding: Unsubstantiated
During investigation, LPA confirmed with staff (ADM, S1) and clients (C1, C2) that no inappropriate sexual behaviors occurred between himself and his roommate on 11/09/21. C1 admitted that he lied and made up the story. Witness (W1) also confirmed C1 did not report any inappropriate sexual behaviors with C2 at the facility. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff do not prevent sexual interactions between clients in care is unsubstantiated.
Exit Interview conducted and a copy of this report provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2023
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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