079200972-1-11-2024-15-AS-HHUL-D224JW-20240131180923

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 079200972
Report Date: 01/11/2024
Date Signed: 01/11/2024 10:09:04 AM

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
05/16/2023 and conducted by Evaluator Laura Hall

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20230516131517

FACILITY NAME:	HOUSE OF JOY		FACILITY NUMBER:	079200972
ADMINISTRATOR:	GAMEZ, JINO FRANKLIN Y.		FACILITY TYPE:	735
ADDRESS:	1374 SANDSTONE DR.		TELEPHONE:	(925) 997-8701
CITY:	BRENTWOOD	STATE: CA	ZIP CODE:	94513
CAPACITY:	6	CENSUS: 5	DATE:	01/11/2024
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Johanna Calimlim, Caregiver		TIME COMPLETED:	10:20 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Sexual Abuse

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 1/11/2024 at 9:30am, Licensing Program Analysts (LPAs), L. Hall and T. Syess-Gibson arrived unannounced to deliver complaint findings for the allegation above. LPAs met with Johanna Calimlim, Caregiver, and explained the reason for the visit. Administrator, Jino Gamez, arrived at 10:00am.

During the course of the investigation, the Department conducted interviews with staff, clients, Reporting Party (RP), witnesses, obtained and reviewed records, including police reports.

On the allegation of sexual abuse.

On an unknown date, client (C1) told her mother that she was sexually abused by a female staff at the facility and C1 had called 9-1-1. Brentwood Police Department

Continued on LIC9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Laura Hall	TELEPHONE: (510) 622-2024
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 15-AS-20230516131517

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: HOUSE OF JOY	FACILITY NUMBER: 079200972
	VISIT DATE: 01/11/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Continued from LIC9099.

(BPD) officer interviewed C1 and C1 did not disclose any information, nor did she say who the female staff person was. During C1’s forensic interview at the Child Interview Center in San Pablo on June 20, 2023, C1 provided a name of a male staff which was S1. C1 did not disclose any other name during the interview as it was initially reported to her mother. C1 became agitated during the interview and would state “time to go.” According to S1, S2 was the only staff that worked the NOC shift during the time of the allegation.

Interviews with staff and witnesses indicated that C1 likes to hug and kiss people including strangers; however, staff tries to set boundaries with C1. S1, S2, and S3 denied any inappropriate behavior with clients. Review of C1’s individual program plan (IPP) dated January 31, 2022, indicates that C1 can conduct her own activities of daily living (ADL’s) with prompts but needs assistance with bathing. Review of the physician’s report dated April 10, 2023, indicates that C1 can conduct all ADL’s. In interview of S2, S2 stated they did not work the NOC shift when this incident allegedly occurred and S3 was the one working. C1 no longer resides at the facility as of July 2023.

Based on the investigations conducted the above allegation is unsubstantiated. A finding that the complaint is UNSUBSTANTIATED means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted and a copy of this report provided.

SUPERVISOR'S NAME: Harpreet Humpal	TELEPHONE: (510) 285-3928
LICENSING EVALUATOR NAME: Laura Hall	TELEPHONE: (510) 622-2024
LICENSING EVALUATOR SIGNATURE:	DATE: 01/11/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/11/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2