306003809-3-16-2023-22-AS-SSAS-CQE394-20230329180231

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306003809
Report Date: 03/16/2023
Date Signed: 03/16/2023 02:10:05 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE & INLAND A/SC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/19/2021 and conducted by Evaluator Ruth Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20211019131704

FACILITY NAME:	ANGELS HOME LLC		FACILITY NUMBER:	306003809
ADMINISTRATOR:	ROBERT LEAL		FACILITY TYPE:	740
ADDRESS:	9781 OMA PLACE		TELEPHONE:	(714) 530-7143
CITY:	GARDEN GROVE	STATE: CA	ZIP CODE:	92841
CAPACITY:	6	CENSUS: 6	DATE:	03/16/2023
		UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Sina Faamausili		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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-A sexual abuse staff on client.

-Staff was talking sexually to the client.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ruth Martinez visited the facility to deliver findings for the investigation into the above identified complaint allegation. LPA arrive at facility was greeted at the door by staff and granted entry. LPA explained the nature of the visit to staff. LPA spoke with Marylou Leal, Administrator via telephone call and explained the purpose of the visit.

Findings are based on Department investigation which included file review, interviews conducted with staff, clients and witnesses.

It is alleged that there was a sexual abuse on client and staff was talking sexually to the client. The investigation findings did not have a substantial evidence to provide the incident did in fact occur. Interviews conducted for three out of three staff revealed that client 1 (C1) would often walk around the facility nude when other clients
Continued on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (949) 430-1222
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

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 22-AS-20211019131704

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE & INLAND A/SC, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: ANGELS HOME LLC	FACILITY NUMBER: 306003809
	VISIT DATE: 03/16/2023

NARRATIVE

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were around. Three out of three staff indicated that C1 will walk around the house nude and walk into other client’s rooms nude. C1 will argue with the staff when they try to redirect C1 and C1 is constantly using profanity and making sexual related comments. Three out of three staff indicated that staff 1 (S1) seldomly visited the facility it was estimated that S1 would come once or twice a month. Interview with C1 revealed that when asked if anyone at the facility bothers or makes C1 feel uncomfortable, C1 did not mention S1 name or have any complaints about S1. Interviews with two clients revealed that C1 walks around the house half naked sometimes. Clients also stated S1 not very often visits the facility. Per review of Garden Grove Police Department report states, there is not enough evidence currently to prove that S1 was at facility on October 17, 2021. Furthermore, at the time of report, there is no further evidence proving that incident did in fact occur.

Based on the information gathered during the investigation, interviews and review of all documents obtained, the Department is unable to ascertain if the allegation occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred; therefore, this allegation is deemed Unsubstantiated.

This report was reviewed with Administrator and a copy was furnished to the facility.

SUPERVISOR'S NAME: Armando J Lucero	TELEPHONE: (949) 430-1222
LICENSING EVALUATOR NAME: Ruth Martinez	TELEPHONE: (657) 285-1397
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2023

LIC9099 (FAS) - (06/04)

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