079200334-2-24-2021-15-AS-KHOS-BZ6P78-20210316110332

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079200334
Report Date: 02/24/2021
Date Signed: 02/24/2021 03:56:11 PM

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
10/20/2020 and conducted by Evaluator Jacob Williams

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20201020140032

FACILITY NAME:	AMAZING HOME CARE II		FACILITY NUMBER:	079200334
ADMINISTRATOR:	MARILOU SOLOMON		FACILITY TYPE:	740
ADDRESS:	5017 SAINT GARRETT COURT		TELEPHONE:	(925) 671-7909
CITY:	CONCORD	STATE: CA	ZIP CODE:	94521
CAPACITY:	6	CENSUS: 4	DATE:	02/24/2021
		UNANNOUNCED	TIME BEGAN:	08:56 AM
MET WITH:	Almarie Solomon		TIME COMPLETED:	09:14 PM

ALLEGATION(S):

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-Staff member is having an inappropriate sexual relationship with resident
-Facility does not provide a safe environment for residents

INVESTIGATION FINDINGS:

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On 2/24/2021 at 8:56pm LPA Jacob Williams conducted an unannounced continuing complaint visit, meeting with Almarie Solomon. Due to the State’s current shelter-in-place order the visit was conducted by telephone.

During investigation, the Department spoke with subject resident R1, staff persons S1, S2, S3, S4, S5, S6, S7, the Reporting Party (RP), witnesses W1, W2, W3; and reviewed the local police investigation report, other documents from R1’s file, and video clips taken by one of the staff witnesses. R1 admitted to having previously stated to S3 that on one occasion in the past R1 had sex with S1 but recanted and stated that R1 had made this up out of jealousy. No other information emerged to support the allegations.

Report continues on LIC9099-C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Julio Montes	TELEPHONE: (510) 286-0518
LICENSING EVALUATOR NAME: Jacob Williams	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2021

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-20201020140032

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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

FACILITY NAME: AMAZING HOME CARE II	FACILITY NUMBER: 079200334
	VISIT DATE: 02/24/2021

NARRATIVE

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The Department has investigated the allegations that a staff member is having an inappropriate sexual relationship with resident and that the facility does not provide a safe environment for residents, and has found that the complaint is Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violations occurred.

Exit interview was conducted and a copy of this report was provided by mail.

SUPERVISOR'S NAME: Julio Montes	TELEPHONE: (510) 286-0518
LICENSING EVALUATOR NAME: Jacob Williams	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 02/11/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/11/2021

LIC9099 (FAS) - (06/04)

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