191221317-3-11-2023-31-AS-NMAN-CQ5Q7A-20230321115449

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191221317
Report Date: 03/11/2023
Date Signed: 03/11/2023 03:09:02 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, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/23/2022 and conducted by Evaluator Jose Gary Tan

COMPLAINT CONTROL NUMBER: 31-AS-20220823093854

FACILITY NAME:	TOMANENG GUEST HOME I		FACILITY NUMBER:	191221317
ADMINISTRATOR:	ESTELA TOMANENG		FACILITY TYPE:	735
ADDRESS:	11204 GAVIOTA ST.		TELEPHONE:	(818) 831-5767
CITY:	GRANADA HILLS	STATE: CA	ZIP CODE:	91344
CAPACITY:	6	CENSUS: 6	DATE:	03/11/2023
		UNANNOUNCED	TIME BEGAN:	01:41 PM
MET WITH:	Abbygail Chambless - Staff		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Resident is sexually abused by another resident in car

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Gary Tan conducted an unannounced subsequent complaint visit to deliver the findings for the above allegation. LPA met with staff Abbygail Chambless who called the administrator Joy Magdangal-Bonet and explained the reason for today’s visit. The administrator designated Ms. Chambless to sign the report.

During the initial visit by the LPA Martinez on 08/24/22 at 10:00 AM, LPA obtained copies of pertinent documents relevant to the investigation. Subsequent visit was made by LPA Tan on 02/18/23 at 8:00 AM. LPA conducted physical plant inspection at 9:10 AM and interviewed staff and residents between 10:15 AM to 12:30 PM. LPA also requested more facility documents relevant to the investigation at 9:30 AM. This case was accepted by Investigation Bureau (IB) for interview only and was assigned to Investigator Peter Zertuche.

(continued to LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2023

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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Control Number 31-AS-20220823093854

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: TOMANENG GUEST HOME I	FACILITY NUMBER: 191221317
	VISIT DATE: 03/11/2023

NARRATIVE

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(continued from LIC 9099)

The Complainant alleged that Resident #1 (R1) was sexually assaulted and “prostituted” to various men by Resident #2 (R2) while in the facility. IB Investigator Zertuche’s interview with Resident #1 (R1) on 09/04/22 at 3:30 PM revealed that R1 denied anyone hurting or touching R1 while in the facility. R1 also denied sexual contact with anyone and has never gone to a hotel with anyone. LPA’s interview with the administrator on 02/18/23 at 10:15 AM revealed that they met with R1 and R1’s North Los Angeles Regional Center (NLARC) Service Coordinator on 02/13/23 and clarified to R1 if Resident #2 (R2) did what R1 alleged. R1 admitted that it wasn’t true and stated that it was just a rumor R1 told the counselor. LPA’s phone interview with NLARC Service Coordinator on 02/21/23 at 11:30 AM confirmed the administrator’s statement.

Based on the information gathered during the course of the investigation, the allegation is deemed unsubstantiated at this time.

Exit interview conducted. Copy of this report issued.

SUPERVISORS NAME: Naira Margaryan
LICENSING EVALUATOR NAME: Jose Gary Tan
LICENSING EVALUATOR SIGNATURE:	DATE: 03/11/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/11/2023

LIC9099 (FAS) - (06/04)

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