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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306003743
Report Date: 10/17/2023
Date Signed: 10/17/2023 02:01:26 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
09/20/2022 and conducted by Evaluator Luis Mora
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20220920143731
FACILITY NAME:DEL SOL HOME (ARTESIA)FACILITY NUMBER:
306003743
ADMINISTRATOR:MERCI CANIA GONZALESFACILITY TYPE:
735
ADDRESS:12060 ARTESIA BLVD., EASTTELEPHONE:
(562) 860-1538
CITY:ARTESIASTATE: CAZIP CODE:
90701
CAPACITY:4CENSUS: 4DATE:
10/17/2023
UNANNOUNCEDTIME BEGAN:
08:44 AM
MET WITH:Anna Marie Tomilloso - Co-AdministratonTIME COMPLETED:
02:16 PM
ALLEGATION(S):
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Staff member sexually abused resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Luis Mora conducted a subsequent complaint visit in response to the above mentioned allegation. LPA met with Anna Marie Tomilloso (Co-Administrator) and explained the reason for the visit.

Investigation consisted of the following: On 09/21/2022, LPA Mora requested copies of client and staff rosters, copies of Client 1 (C1) physician report, Individual Personalized Plan (IPP), behavior assessment, admission agreement, face sheet, house rules and incident reports, and copies of Staff 1 (S1) entire file. LPA conducted a tour of the facility and common areas. LPA observed a sufficient supply of perishable and non-perishable foods. LPA observed the clients to identify any signs of neglect, abuse, or other immediate health and safety threats. LPA did not observe any immediate health and/or safety concerns. On 09/20/2022, this allegation was assigned to an Investigation Branch (IB) Investigator to complete the investigation, but due to the information gathered the Investigation Branch did not upgrade the case to full investigation and returned the case to the Regional Office for LPA Mora to complete the investigation.
(Continued to LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Luis Mora
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023
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-20220920143731
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: DEL SOL HOME (ARTESIA)
FACILITY NUMBER: 306003743
VISIT DATE: 10/17/2023
NARRATIVE
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During today's visit, LPA Mora obtained copies of resident and staff rosters, Client 1 (C1) Individual Program Plan (IPP), and reviewed C1's behavior notes. LPA also interviewed Licensee, Staff 1 - Staff 4 (S1 - S4), C1's Regional Center Service Coordinator, C1's Behaviorist, Client 1 (C1), and attempted to interview Client 2 - Client 4 (C2 - C4).

The investigation revealed the following: regarding allegation "staff member sexually abused resident", it is alleged that C1 was sexually assaulted by the Licensee at the facility where the client resides and was impregnated. Licensee and staff denied the allegation. They stated that C1 has a history of making this kind of allegation. C1's Behaviorist of 15 years stated that the client has made several past allegations of being sexually assaulted by several staff members and being impregnated. The Regional Center Service Coordinator stated that the client has a history of making repeated allegations of sexual abuse. During today's visit, C1 denied sexual abuse by the Licensee or any other staff. LPA reviewed C1's behavior notes and observed multiple accusations of sexual abuse dating back to 2017.

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 and a copy of this report was provided.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Luis Mora
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 10/17/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/17/2023
LIC9099 (FAS) - (06/04)
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