198602422-9-14-2023-28-AS-TVAO-CVPTSN-20230915145926

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198602422
Report Date: 09/14/2023
Date Signed: 09/14/2023 12:11:16 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
07/19/2023 and conducted by Evaluator Elizabeth Irra

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20230719082713

FACILITY NAME:	PEOPLE'S CARE VIOLA		FACILITY NUMBER:	198602422
ADMINISTRATOR:	HUENDY MORA		FACILITY TYPE:	737
ADDRESS:	1605 VIOLA PL		TELEPHONE:	(909) 671-4184
CITY:	POMONA	STATE: CA	ZIP CODE:	91768
CAPACITY:	3	CENSUS: 3	DATE:	09/14/2023
		UNANNOUNCED	TIME BEGAN:	08:15 AM
MET WITH:	Jordan Henry		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Personal Rights/Staff sexually abused client in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Elizabeth Irra conducted a subsequent visit to investigate the above allegation. LPA met with Jordan Henry and discussed the purpose of today’s visit.

On 07/20/23, LPA Irra conducted the initial 10-day complaint visit. LPA met with Huendy Mora and discussed the purpose of this visit. During this visit, LPA conducted a tour of this facility. LPA did not observe any signs of neglect, abuse or other immediate health and safety threats. LPA reviewed Client #1 (C-1) and Staff #1 (S-1) files and obtained relevant documentation. LPA also obtained copies of the client and staff rosters.

Refer to LIC 9099C for the continuation of this report.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023

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-20230719082713

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: PEOPLE'S CARE VIOLA	FACILITY NUMBER: 198602422
	VISIT DATE: 09/14/2023

NARRATIVE

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During this investigation, Investigator Sonia Sandoval from the Investigation Branch (IB) interviewed C-1’s Service Coordinator and C-1. Investigator Sandoval also requested a copy of the police report from the Pomona Police Department (report not generated). San Gabriel Pomona Regional Center conducted an investigation and found this allegation to be unsubstantiated. LPA Irra interviewed Staff #1 (S-1) through Staff #3 (S-3). LPA was unable to interview Client #1 (C-1) as C-1 is currently hospitalized. LPA was unable to interview Client #2 (C-2) or Client #3 (C-3) as both were at their day program.

Allegation: Personal Rights/ Staff sexually abused client in care. Per Investigator Sandoval’s investigative report, C-1 recanted the sexual allegation. C-1 has a history of making sexual allegations, recanting and fabricating stories. C-1 had fabricated this allegation because C-1 was unhappy living at this facility and wanted to move out. C-1 has previously made allegations of similar nature and has recanted in the past. Staff interviews revealed that C-1 has a history of fabricating stories (including sexual allegations) and recanting. Staff interviews revealed that C-1 has an individual behavioral plan which addresses fabrication of stories which is being monitored and tracked by staff. Per staff interviews, staff are trained in mandated reporting, zero tolerance and client rights. Interviews and reviewed documentation do not corroborate this allegation.

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

An exit interview was conducted, a copy of appeal rights and this report was provided to Marc Marquez.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Elizabeth Irra
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 09/14/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2023

LIC9099 (FAS) - (06/04)

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