197603385-10-17-2023-28-AS-RORN-CXKM2K-20231114081337

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197603385
Report Date: 10/17/2023
Date Signed: 10/17/2023 02:04:53 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/26/2023 and conducted by Evaluator Alma Gonzalez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20230126113924

FACILITY NAME:	COMMONWEALTH ROYALE GUEST HOME		FACILITY NUMBER:	197603385
ADMINISTRATOR:	KITT, GARY		FACILITY TYPE:	740
ADDRESS:	150 S. COMMONWEALTH AVE		TELEPHONE:	(213) 382-6381
CITY:	LOS ANGELES	STATE: CA	ZIP CODE:	90004
CAPACITY:	99	CENSUS: 85	DATE:	10/17/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	Anna Rempel		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Resident was raped at the facility.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Alma Gonzalez conducted a subsequent complaint visit to deliver investigation findings for the above stated allegation. LPA met with Administrator Gary Kitt and Assistant Administrator Anna Rempel and explained the reason for the visit.

The investigation consisted of: During the initial visit conducted on 01/27/23, LPA Mora collected copies of resident and staff rosters and copies of documents relevant to the investigation. LPA Mora conducted a tour of the facility and common areas. LPA Mora observed a sufficient supply of perishable and non-perishable foods. LPA Mora observed the residents to identify any signs of neglect, abuse, or other immediate health and safety threats. LPA Mora did not observe any immediate health and/or safety concerns at the time of the visit. On 02/16/23, Investigator Dennis Seng interviewed R1-2, and Staff 1 (S1).

(See LIC9099C for continuation)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Alma Gonzalez	TELEPHONE: (323) 981-3973
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023

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 28-AS-20230126113924

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: COMMONWEALTH ROYALE GUEST HOME	FACILITY NUMBER: 197603385
	VISIT DATE: 10/17/2023

NARRATIVE

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On 02/22/23, Investigator Seng requested/ received LAPD Olympic Police Station Incident Report regarding R1. On 02/23/23, Investigator Seng conducted a phone interview with LAPD SUV Detective (LAPD Det) and conducted a phone interview with Assistant Administrator Anna Rempel. Assistant Administrator provided Investigator Seng with copies of the facility rounds logs. On 10/17/23, LPA Gonzalez conducted interviews with Administrator Gary Kitt, R3-9 and S2-3. LPA also conducted a tour of the entire facility inside and out with Assistant Administrator Anna Rempel and collected copies of Staff and Resident Rosters.

Investigation revealed the following: Regarding allegation, Resident was raped at the facility, it is alleged that on 01/25/23, R1 went on their own to Hollywood Presbyterian Medical Center Emergency Department and stated that they were raped at the facility. R1 requested to make a report & LAPD was notified by hospital staff. Interviews conducted with facility Administrator Kitt, Assistant Administrator and S1-3 revealed that R1 was not sexually assaulted at the facility. They stated that R1 had a history of making false statements and also a history of hearing voices. Assistant Administrator Anna Rempel stated that staff conduct rounds every two hours during the graveyard shift. Investigator Seng reviewed the facility rounds logs and observed that on 01/24/23 at 2200 hours, 2330 hours and on 01/25/23 at 0000 hours and 0200 hours, staff found no issues during each round. Assistant Administrator stated that on 01/25/23, R1 was taken to the hospital at approximately 0245 hours. She also stated that R1 was threatening and assaulting other residents and residents were afraid of R1. S1-3 also stated that residents were afraid of R1 and that R1 would regularly make comments about hearing voices. S1 stated that R1 made statements that were fictitious such as claiming to murder people and that they heard voices that told them to sexually assault certain people. Interview conducted by Investigator Seng with R1 revealed that they woke up and had a feeling in a certain part of their body and that they heard the voices telling them that they were raped. R1 stated that they were not aware of who the assailant was. R1 also stated that they felt safe when they lived at the facility. Investigator Seng also conducted an interview with R2 who stated that R1 would hear voices and see “stuff” and that R1 would threaten other residents and the residents were afraid of R1. R2 reported that they never witnessed or heard of anyone at the facility being sexually assaulted. R2 stated that they felt happy and safe at the facility. Interviews conducted with R3-9 revealed that they feel safe at the facility and that they have never witnessed or heard of anyone at the facility being sexually assaulted.

Investigator Seng additionally reviewed LAPD Olympic Police Station Incident Report which revealed that R1 refused medical treatment and also refused being tested with the Sexual Assault Evidence Kit (SAEK).

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Alma Gonzalez	TELEPHONE: (323) 981-3973
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023

LIC9099 (FAS) - (06/04)

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Control Number 28-AS-20230126113924

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: COMMONWEALTH ROYALE GUEST HOME	FACILITY NUMBER: 197603385
	VISIT DATE: 10/17/2023

NARRATIVE

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Investigator Send also conducted a phone interview with LAPD Det who stated that there was no possibility of any rape or sexual assault happening due to R1 not having direct memory of the crime and hearing voices and refusing the SAEK kit. LAPD Det stated that they were closing the case. Based on interviews conducted with facility staff, facility residents, LAPD Det, Investigator Seng’s record review, and LPAs observations, there was not enough supportive evidence to concur with the reported allegation.

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

Exit interview held. A copy of the report was provided to Assistant Administrator Anna Rempel.

SUPERVISOR'S NAME: Wei Siew Ho	TELEPHONE: (323) 981-3969
LICENSING EVALUATOR NAME: Alma Gonzalez	TELEPHONE: (323) 981-3973
LICENSING EVALUATOR SIGNATURE:	DATE: 10/17/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023

LIC9099 (FAS) - (06/04)

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