191800884-11-19-2023-11-AS-JHAD-CXSQMQ-20231121111753

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 191800884
Report Date: 11/17/2023
Date Signed: 11/19/2023 08:45:45 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/16/2023 and conducted by Evaluator Ernand Dabuet

PUBLIC

COMPLAINT CONTROL NUMBER: 11-AS-20231016153724

FACILITY NAME:	WILLING WORKERS, INCORPORATED		FACILITY NUMBER:	191800884
ADMINISTRATOR:	WENDY CARROLL LANIER		FACILITY TYPE:	775
ADDRESS:	4813 W WASHINGTON BLVD		TELEPHONE:	(323) 937-5950
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90016
CAPACITY:	240	CENSUS: 45	DATE:	11/17/2023
		UNANNOUNCED	TIME BEGAN:	08:39 AM
MET WITH:	Daisy Garcia		TIME COMPLETED:	03:59 PM

ALLEGATION(S):

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Staff did not prevent client from being sexually abused.

INVESTIGATION FINDINGS:

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On 11/17/23, Licensing Program Analyst (LPA) Ernand Dabuet conducted a subsequent complaint visit at this facility. LPA was greeted by Quality Assurance Manager Daisy Garcia. LPA explained the purpose of today's inspection visit was to conduct interviews and to deliver findings.

The investigation consisted of the following: Licensing Program Analyst (LPA) Ernand Dabuet conducted a visit on 10/17/23 and 11/17/23. LPA investigated the allegation mentioned and conducted interviews with clients, staff, and witnesses. Staff rosters, SIR reports, physician's reports, appraisals/needs and services plans, and IPP for client #1- #2 (C1-C2) and other pertinent records associated with this complaint. The Department of Social Services investigator Ryan Philippe Miles conducted a separate investigation that included an interview with client #1 (C1) and witness #1 (W1). A tour of the facilty on 10/17/23 and 11/17/23.

(Evaluation Report continues LIC 9099-C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2023

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 11-AS-20231016153724

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: WILLING WORKERS, INCORPORATED	FACILITY NUMBER: 191800884
	VISIT DATE: 11/17/2023

NARRATIVE

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INVESTIGATION REVEALED THE FOLLOWING:

Allegation: Staff did not prevent client from being sexually abused.
On 10/16/23, the Department received a complaint alleging the staff was aware of sexual abuse with client #1 (C1) and did nothing to prevent it. The complainant reported that on 10/05/23, (C1) was sexually assaulted by another client #2 (C2) while in the bathroom at this facility. According to the complainant, other agencies have been notified of the offense. The complainant did not have further details on the matter.

On 10/17/23 from 10:00 am – 12:00 pm, the Department interviewed (2) out of (2) staff #1-#2 (S1-S2) denied this allegation. (S1) stated an incident that happened at the day program had to do with two consumers (C1-C2). On 10/05/23, (C1) claimed was inappropriately fondled in the private area by (C2). (S1) claimed who was not present when the incident happened, but (S2) was a witness to the alleged incident. (S1-S2) reported that clients are assisted in the restroom, by staff always. According to (S2), (C1) was assisted in the restroom by (S2) on 10/05/23, and (C1) was the only client inside the restroom. (S2) stood by the door and waited for (C1) and was supervised during this moment. According to (S2), there were no other clients with (C1) when this alleged incident occurred. (S2) stated a call was received from facility administrator witness #1 (W1) of Williams Adult Facility the group home of (C1).

(C1) disclosed to (W1) at approximately 4 p.m. while at the group home that another client had touched and fondled (C1) in the private area while in the bathroom. (S2) expressed to (W1) that no one was inside the stalls with (C1) and that (S2) was standing close by supervising (C1). (S1-S2) immediately notified Community Care Licensing, family representatives, South Central Los Angeles Regional Center, and the Los Angeles Police Department of the incident.

(S1-S2) reported that the day program has a bathroom log. (S2) logged the time and date when (C1) was assisted to the restroom of the alleged date and time it happened. (S2) stated there has been no history of sexual misconduct with (C1). However, the (C1) (victim) has had issues with (C2) (suspect). Nothing critical, just a few disagreements. (S1-S2) reported the day program has made a point to separate the two clients and both are in different programs while at the facility and do not have activities together. (C1-C2) were not present during the investigation visit on 10/17/23.

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2023

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20231016153724

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: WILLING WORKERS, INCORPORATED	FACILITY NUMBER: 191800884
	VISIT DATE: 11/17/2023

NARRATIVE

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During the investigation visits on 10/17/ and 11/17/23, the Department observed security cameras throughout the facility. For each group activity, one staff member supervises between two and five clients. In total, 45 clients are served by over 20 staff members.

Client #2 (C2) was not present during investigation visits on 10/17/23 and 11/17/23. Attempts were made by telephone for an interview but were unsuccessful .

Based on the information gathered, there is not enough evidence to corroborate the allegation.

Based on the information provider, an inspection of the facility, observation, interviews, and analysis of service records, the Department found no evidence to support the allegation mentioned above.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, as a result, the allegation is Unsubstantiated.

No deficiencies were identified during this visit.

An exit interview was conducted with Daisy Garcia, and a copy of the report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2023

LIC9099 (FAS) - (06/04)

Page: 4 of 4

Control Number 11-AS-20231016153724

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: WILLING WORKERS, INCORPORATED	FACILITY NUMBER: 191800884
	VISIT DATE: 11/17/2023

NARRATIVE

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On 10/17/23 at 1:15 pm – 2:00 pm, the Department interviewed facility administrator witness #1 (W1) at Williams Adult Facility. (W1) stated having first knowledge of the incident on 10/05/23 was when (C1) told (W1) in confidence when (C1) arrived back from the day program that another client touched/fondled (C1) in the private area while in the bathroom. (W1) was told around 3:30 pm - 4:00 pm is about the time when transportation drops (C1) off at the facility. (W1) immediately contacted the day program and spoke with (S2) who said that management would investigate the matter. (W1) stated law enforcement arrived on 10/16/23 and did a report.

According to (W1), (C1) has had prior episodes in which there seems to be a fixed delusion in (C1) that individuals are touching (C1) and that one often talks to oneself without anyone else present. (W1) reported that (C1) has also made references to the other roommates who have tried to harm (C1) when they have not. (W1) stated (C1) is diagnosed with a mental disorder. (C1’s) medication for risperidone medication was increased by (C1’s) physician in the past 30 days. (C1) was prescribed a new benztropine medication by the physician on 10/16/23.

On 10/30/23 at 12:49 pm, Investigator Ryan Miles interviewed client #1 (C1). (C1) stated she “liked” the program and the staff. (C1) claimed a friend at the program (could not recall the name) had touched (C1) in the restroom twice. (C1) recanted the number of being touched “twice”, and with (C1’s) verbalizing and displaying of (C1’s) hands stated, “five times.” (C1) continued to make inconsistent statements regarding the allegation and continued to deviate from the subject matter.

On 11/17/23 from 9:59 am to 11:57 am, the Department interviewed (9) out of (9) clients #3-#11 (C3-C11) who were complimentary of the program and staff. (C3-C11) expressed having no concerns for their health or safety. (C3-C11) all claimed there have been no inappropriate behaviors at the program and that clients or staff have boundaries and know when not to cross them.

A review of (C1’s) service records on 10/17/23 through 11/17/23 revealed (C1) is being treated for a mental condition and has difficulty connecting and responding appropriately to other individuals according to the Annual/Semi Annual Report (dated: 05/01/23).

(Evaluation Report continues LIC 9099-C)

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Ernand Dabuet
LICENSING EVALUATOR SIGNATURE:	DATE: 11/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/17/2023

LIC9099 (FAS) - (06/04)

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