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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603402
Report Date: 12/30/2022
Date Signed: 12/30/2022 02:06:46 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
09/23/2022 and conducted by Evaluator Cynthia D Chan
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20220923172559
FACILITY NAME:RHEMA CARE GROUP LLC - HOLLY OAK DRIVEFACILITY NUMBER:
198603402
ADMINISTRATOR:IRHIA, BLESSINGFACILITY TYPE:
735
ADDRESS:1820 E HOLLY OAK DRIVETELEPHONE:
(626) 426-5904
CITY:WEST COVINASTATE: CAZIP CODE:
91791
CAPACITY:4CENSUS: 4DATE:
12/30/2022
UNANNOUNCEDTIME BEGAN:
11:55 AM
MET WITH:John Wilson, AdministratorTIME COMPLETED:
02:15 PM
ALLEGATION(S):
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Resident was sexually assaulted while in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent complaint investigation for allegation – Client was sexually assaulted while in care. LPA met with Administrator, John Wilson, and explained the purpose of the visit.

The investigation consisted of the following:
On 9/26/22, LPA Chan toured the facility with Staff and inspected the 4 client bedrooms and 2 bathrooms. There were sufficient food supplies. The cleaning products and knives were locked, making them inaccessible to the client. No immediate health and safety concerns observed at this time. LPA obtained copies of timesheets of Staff. LPA requested for the LIC 500 Personnel Report and documents pertaining to Client #1: Face Sheet, Admission Agreement, Appraisal/Needs and Service Plan, Physician's Report, medication record, and Regional Center's IPP. During the visit today, LPA interviewed the Administrator, 3 Staff, and 3 Clients. Client #1 (C-1) is no longer residing at this facility.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 28-AS-20220923172559
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: RHEMA CARE GROUP LLC - HOLLY OAK DRIVE
FACILITY NUMBER: 198603402
VISIT DATE: 12/30/2022
NARRATIVE
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The investigation revealed the following:

In regards to allegation, client was sexually assaulted while in care. IB Investigator O. Spandola was assigned to interview Client #1 (C-1) and determined that a further investigation is not warranted. C-1 denied being sexually abused. A family member was also interviewed and reported to the investigator that C-1 has a history of fabrication and likes reporting sexual or physical abuse to seek attention. LPA Chan interviewed 3 additional staff members who have worked with C-1. Staff denied sexually abusing any clients and 2 of the staff indicated that C-1 had made false allegations while residing at the facility. Based on C-1’s most current Individual Program Plan (IPP) dated 8/17/22, it indicates client makes “verbal statements that are known to be untrue or is later found to be untrue. LPA interviewed C-1's regional center service coordinator who confirmed that client has a history of fabrication and has made the same allegation in the past.

LPA interviewed 3 clients today. They stated the staff are good to them and do not touch or speak to them inappropriately.

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 with Administrator Wilson. A copy of this report along with the appeal rights were provided.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Cynthia D Chan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 12/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/30/2022
LIC9099 (FAS) - (06/04)
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