198600455-5-16-2024-11-AS-UCOL-D5D256-20240517170459

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198600455
Report Date: 04/26/2024
Date Signed: 05/16/2024 11:09:27 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/05/2022 and conducted by Evaluator Jose Calderon

COMPLAINT CONTROL NUMBER: 11-AS-20220505143401

FACILITY NAME:	HERITAGE BOARD & CARE #4		FACILITY NUMBER:	198600455
ADMINISTRATOR:	WARREN TRINIDAD		FACILITY TYPE:	735
ADDRESS:	1509 EAST 4TH STREET		TELEPHONE:	(562) 437-2070
CITY:	LONG BEACH	STATE: CA	ZIP CODE:	90802
CAPACITY:	20	CENSUS: 12	DATE:	04/26/2024
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	STAFF DANILO GARCIA		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Client was sexually abused while in care

INVESTIGATION FINDINGS:

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THIS REPORT SUPERSEDES THE REPORT DATED 05/06/2024 FOR CLARIFYING THE CIRCUMSTANCE FOR THE ALLEGATIONS. ALTHOUGH THIS REPORT SUPERSEDES THE PREVIOUS REPORT THE COMPLAINT INVESTIGATION FINDINGS REMAIN THE SAME: UNSUBSTANTIATED

On 04/26/2024 Licensing Program Analyst (LPA) Jose Calderon initiated a complaint investigation to deliver findings for Heritage Board & Care #4 for the allegation listed above. LPA Calderon met with House Manager Danilo Garcia (S1) and the purpose of the visit was explained.

The investigation consisted of the following: On 05/06/2022 around 01:00 PM Licensing Program Analyst (LPA) Jose Calderon initiated an investigation for the allegation complaints listed above. LPA Calderon toured the facility including all common areas, requested copies of the following: Physician report (date 03/24/2021), St. Mary hospital (date 04/28/2022) records, admission agreement ( date 3/24/2021) for resident 1. LPA Calderon submitted the gathered evidence to the departments (IB) Investigations Bureau. The investigation was assigned to (IB) Investigator Robert Kujawa. On 04/28/2022 and 06/21/2022 Investigator Kujawa interviewed C1 and W1. On 04/28/2022 Investigator Kujawa conducted a review of C1 hospital medical records. On 04/26/2024 LPA Calderon interviewed staff S1-S2, client C1-C4.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2024

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-20220505143401

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: HERITAGE BOARD & CARE #4	FACILITY NUMBER: 198600455
	VISIT DATE: 04/26/2024

NARRATIVE

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The Investigation revealed the following: Regarding allegation: “Client was sexually abused while in care.” This complaint alleged that the client was sexually abused by staff. On 04/28/2022 C1 was admitted to St. Mary Medical Center Long Beach. C1 presented to the emergency department today with suspected sexual abuse ongoing for the past eight months. C1 states that C1 was sexually abused at least three times a week. C1 states that C1 has been sexually assaulted at night. C1 denies any discharge, also expressed that C1 notified Long Beach Police Department today who came down and filed a police report, however no examination or testing was performed. On 06/21/2022 Investigator Kujawa interviewed C1 for complaint. C1 expressed that C1 did not disclose any specific incident regarding staff or clients that occurred at the facility pertaining to sexual abuse. C1 repeatedly mentioned that C1 is well taken care of at the facility and that the staff treat C1 well. On 06/21/2022 Investigator Kujawa interviewed W1 police officer for complaint. W1 expressed that W1 does not feel that the Sexual Assault Response Team (SART) needs to come out to examine C1. W1 has suspicion that this could possibly be psychological in etiology. W1 expressed that C1 can go back to Heritage Board & Care at any time. The assignment was not upgraded to a full investigation due to the lack of evidence found during my investigation. 2 out of 2 staff state to have no knowledge of any sexual assault on C1. C1 states that a unknown person came into C1 room and laid on top of C1 in C1 bed. C1 states that C1 went to the hospital for evaluation and hospital staff could not find anything wrong with C1. C1 states that the police did not write a report. C1 states that C1 feels safe living at the facility., 3 out of 4 clients state to feel safe living at the facility and 3 out of 4 clients have never been attacked by any other client or staff while living at the facility.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged allegation “Client was sexually abused while in care” did or did not occur, therefore the allegation is Unsubstantiated.

An exit interview was conducted with House Manager Danilo Garcia, and a hard copy was provided.

SUPERVISORS NAME: Ulysses Coronel
LICENSING EVALUATOR NAME: Jose Calderon
LICENSING EVALUATOR SIGNATURE:	DATE: 04/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2024

LIC9099 (FAS) - (06/04)

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