197607799-2-3-2022-29-AS-DPEA-CBRQJ2-20220218111203

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197607799
Report Date: 02/03/2022
Date Signed: 02/03/2022 02:36:35 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. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/22/2021 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 29-AS-20210222120429

FACILITY NAME:	SAILS SIMI		FACILITY NUMBER:	197607799
ADMINISTRATOR:	AYOBAMI TEMILOLUWA		FACILITY TYPE:	735
ADDRESS:	3311 TAPO CANYON RD		TELEPHONE:	(818) 224-7222
CITY:	SIMI VALLEY	STATE: CA	ZIP CODE:	93063
CAPACITY:	4	CENSUS: 3	DATE:	02/03/2022
		UNANNOUNCED	TIME BEGAN:	10:45 AM
MET WITH:	Marchelino Roos		TIME COMPLETED:	11:15 AM

ALLEGATION(S):

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Staff inappropriately touched client

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian conducted an unannounced subsequent complaint visit to deliver final investigation finding regarding above allegations. During today’s visit LPA Chochian met with staff and explained reason for visit. Staff contacted new Administrator Marchelino Roos who arrived shortly after. Reason for visit was explained to Mr. Roos. Following is a summary of the investigation:

On 02/22/2021, the Department received a complaint regarding an allegation of sexual abuse. Information was received that facility Staff #1 (S1) sexually touched Client #1’s (C1) back and buttocks area. The complaint was referred to Community Care Licensing (CCL) Investigations Branch (IB) and assigned to Investigator Laura Garcia.
On 02/24/2021, LPA Chochian conducted the initial complaint visit. Due to the situation surrounding the Corona Virus Disease 2019 (COVID-19), and to implement mitigation measures, the initial complaint investigation was conducted telephonically with Administrator Ayobami Temiloluwa and later virtually with facility house manager Senami Lateju-Labeodan using "Whats App". (continue to LIC9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2022

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 29-AS-20210222120429

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. #250
WOODLAND HILLS, CA 91364

FACILITY NAME: SAILS SIMI	FACILITY NUMBER: 197607799
	VISIT DATE: 02/03/2022

NARRATIVE

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Between the hours from 2:15 p.m. to 3:17 p.m., LPA Chochian conducted a physical plant tour, communicated with clients, and requested pertinent documents.

Special Investigator Laura Garcia conducted interviews with Tri-Counties Regional Center (TCRC) on 03/24/2021 at 2p.m. and on 04/12/2021 at 11a.m.; interview with staff on 04/12/2021 at 2:40p.m., 04/13/2021 at 12 p.m. and on 6/07/2021 at 3p.m.. Interview also conducted with C1 on 04/13/2021 at 2:10 p.m.. and with C1’s family member on 04/14/2021 at 10a.m. Other potential witness interviewed on 06/06/2021 at 2:20 p.m.
It was reported on 02/13/2021, that while C1 was talking to S1 in the office, S1 asked C1 if they loved S1, and indicated S1 hugged C1 and touched C1’s back and buttocks area. The allegation was reported to Adult Protective Services (APS), TCRC and CCL. A police report was not filed due to the criteria/assessment of the situation and inconsistent statements by C1.

During the course of investigation, C1 did not remember what happened with S1. C1 was unwilling to provide any specific details of the sexual abuse allegation. C1 denied recalling any detail about the allegation. Per information obtained from TCRC, C1 currently receives services which are tracked on reports of having a history of lying and fabricating stories, tantrums and noncompliance. C1 refused to speak about the allegation and provided no significant detail of what was reported. C1’s family member also confirmed that C1 has a history of alleging sexual harassment with prior male instructors or caregivers. S1 denied the allegation and indicated that C1 has a history of fabricating stories and are primarily due to C1’s mental health diagnosis.

Based on the above information, there is not sufficient evidence to support the allegation. Therefore, the allegation is deemed Unsubstantiated at this time.

Exit interview conducted and copy of report provided.

SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE:	DATE: 02/03/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/03/2022

LIC9099 (FAS) - (06/04)

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