198602123-1-4-2024-28-AS-FFIS-CZARLS-20240108120737

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602123
Report Date: 01/04/2024
Date Signed: 01/04/2024 05:46:27 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, 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
11/10/2022 and conducted by Evaluator Bonnie Tao

COMPLAINT CONTROL NUMBER: 28-AS-20221110094923

FACILITY NAME:	PEOPLE'S CARE CAMERON		FACILITY NUMBER:	198602123
ADMINISTRATOR:	MARGIE KIMBLE		FACILITY TYPE:	735
ADDRESS:	2441 CAMERON AVE		TELEPHONE:	(626) 732-3500
CITY:	COVINA	STATE: CA	ZIP CODE:	91724
CAPACITY:	4	CENSUS: 2	DATE:	01/04/2024
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Margie Kimble, Administrator		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Resident was sexually assaulted while in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tao conducted a subsequent unannounced visit to continue the investigation and deliver the complaint finding of the allegation at the facility today. LPA explained the purpose of today's visit to the administrator, Margie who assisted with this visit.

On 11/10/22, Licensing Program Analyst (LPA) Wong conducted the initial unannounced investigation for a health and safety check at the facility. LPA met with administrator Margie Kimble during the visit.

On 12/12/22, a subsequent visit was conducted by Investigator Douglas Real for an investigation. Investigator Real interviewed staff from staff#2 (S2) to staff #5 (S5) and client#1 (C1). IB reviewed C1’s facility file and related documentations.

On 01/04/24, a second subsequent visit was conducted by LPA Tao for an investigation. LPA conducted additional interviews with staff/clients and obtained related C1's records.
(- continued in LIC 9099 C-)

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Bonnie Tao
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024

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 28-AS-20221110094923

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: PEOPLE'S CARE CAMERON	FACILITY NUMBER: 198602123
	VISIT DATE: 01/04/2024

NARRATIVE

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The investigation revealed the following:

In regard of allegation of resident was sexually assaulted while in care, it was alleged that client#1 (C1) was raped by a male staff at the facility. The department conducted interviews with clients from client#1 (C1) to client#3 (C3). All clients could not corroborate the allegation. During the client interview, C1 denied of being sexual abuse or harm done on C1 by anyone at the facility. Per interviews with staff from staff #1 (S1) to staff#7 (S7) including client’s regional center social worker, all staff denied the allegation. As client’s social worker stated, client has a documented history of false allegations. Per record review, client#1 (C1) had a history of fabricating false statements and changing stories around. Therefore, there is not preponderance of evidence to show client was sexually abused by the facility staff while residing at the facility.

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

An exit interview was conducted with administrator, Margie. Findings were discussed during the exit conference. A copy this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Fernando Fierros
NAME OF LICENSING PROGRAM ANALYST: Bonnie Tao
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 01/04/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/04/2024

LIC9099 (FAS) - (06/04)

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