019200734-5-28-2024-15-AS-HHUL-D6DNQY-20240619104040

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200734
Report Date: 05/28/2024
Date Signed: 05/28/2024 09:52:58 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 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
07/19/2023 and conducted by Evaluator James Sampair

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20230719141352

FACILITY NAME:	JOY SENIOR CENTER		FACILITY NUMBER:	019200734
ADMINISTRATOR:	MATHARU, GURPREET		FACILITY TYPE:	740
ADDRESS:	6400 BRENTWOOD BLVD		TELEPHONE:	(510) 543-4695
CITY:	BRENTWOOD	STATE: CA	ZIP CODE:	94513
CAPACITY:	18	CENSUS: 15	DATE:	05/28/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Caregiver Rose Constantino		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Staff inappropriately touched resident

INVESTIGATION FINDINGS:

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On 5/28/2024 at 9:30 AM, Licensing Program Analyst (LPA) James Sampair arrived unannounced to deliver findings on the allegation above. The LPA informed Caregiver Rose Constantino of the purpose of the visit.

The Department's investigation included, but was not limited to, a physical inspection of the facility; record reviews of facility, staff, resident documentation, and Brentwood Police Department (BPD) reports; and interviews of the Reporting Party (RP), resident R1, 3 other facility residents, accused staff member S1, and 4 other staff members.

Continues on LIC9099-C . . .

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 529-9416
LICENSING EVALUATOR NAME: James Sampair	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 05/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024

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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Control Number 15-AS-20230719141352

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: JOY SENIOR CENTER	FACILITY NUMBER: 019200734
	VISIT DATE: 05/28/2024

NARRATIVE

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. . . Continued from LIC9099

The complaint alleges that staff inappropriately touched resident R1.
The BPD investigated the matter and was unable to find any witnesses or physical evidence to prove that abuse occurred. Therefore, the BPD inspection was closed with a finding of unfounded.

The Department’s interviews of the 4 staff members who were not accused of inappropriately touching R1 revealed significant inconsistencies in R1’s statements to them about the alleged inappropriate touch by S1. Physical inspection of the facility, reviews of records, and interviews of 3 of the other residents revealed no witnesses or physical evidence to show that R1 had been inappropriately touched by staff member S1.

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

Exit interview conducted and a copy of this report provided.

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 529-9416
LICENSING EVALUATOR NAME: James Sampair	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 05/28/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2024

LIC9099 (FAS) - (06/04)

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