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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306004456
Report Date: 04/12/2025
Date Signed: 04/26/2025 11:24:55 AM

Substantiated


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
10/16/2024 and conducted by Evaluator Kimberly Ramirez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20241016225924
FACILITY NAME:VILLA LURENFACILITY NUMBER:
306004456
ADMINISTRATOR:BRIAN BUENVIAJEFACILITY TYPE:
735
ADDRESS:13749 E. CREWE STREETTELEPHONE:
(562) 941-3813
CITY:WHITTIERSTATE: CAZIP CODE:
90605
CAPACITY:62CENSUS: 56DATE:
04/12/2025
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:MedTech Ernest SumaydengTIME COMPLETED:
11:00 AM
ALLEGATION(S):
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Staff sexually abused a client
Staff had inappropriate interactions with clients
INVESTIGATION FINDINGS:
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*This is an amended version of previously dated report 04/12/2025. Confidential information was removed from 9099-C. No changes to findings. LPA Ramirez re-delivered report on 04/26/2025.*
Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced subsequent complaint investigation visit on 04/12/2025 to deliver findings on above allegations. LPA Ramirez conducted an unannounced Health and Safety visit on 10/17/2024 and a needs further investigation was documented. During today’s visit, LPA Ramirez was greeted by MedTech Ernest Sumaydeng and explained the purpose of the visit.

SEE 9099-C for continued report.
Substantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/26/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2025
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 3
Control Number 28-AS-20241016225924
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: VILLA LUREN
FACILITY NUMBER: 306004456
VISIT DATE: 04/12/2025
NARRATIVE
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The investigation consisted of the following: LPA Ramirez requested and obtained copies of Resident/Client Roster, Staff Roster, Interviews conducted by Community Care Licensing-Investigations Branch-Staff Interviews, Client Interviews, Interview of Client#1’s (C1) Case Worker, Investigations Branch-Investigation Report completed 2/24/2025, Copies of Client#1 (C1): Identification and Emergency Information, Physician’s Report for Community Care Facilities (LIC 602), Superior Court of The State of California Letter of Conservatorship dated 06/20/2024, Preplacement Appraisal Information (LIC 603), Appraisal/Needs and Services Plan (LIC 625), Admissions Agreement dated 12/13/2024, Copies of Staff#1 (S1): Application for Employment, Personnel Record (LIC 501), S1 Employee Checklist, Initial Training -10 Hours documentation for S1, Timesheet 10/2024 for S1, photograph copies of text messages exchanged between C1 and S1, and physical plant tour.

The investigation revealed the following: regarding the allegation(s) Staff sexually abused a client- It is alleged S1 sexually abused C1 on 10/06/2024. Interviews conducted by Community Care Licensing-Investigations Branch, corroborated this allegation. Review of text messages exchanged by S1 and C1 revealed on 10/06/2024 around 11:40pm, S1 invited C1 to their car. C1 complied and sat in backseat of S1’s car with S1. Interview of C1 revealed S1 began to touch and fondle C1 repeatedly even after C1 told S1 “No.” Review of C1’s letters of conservatorship revealed C1 is conserved and “gravely disabled”. Interview of C1’s Case Worker revealed C1 is unable to consent to any sexual activity. Based on interviews and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

Staff had inappropriate interactions with clients- It is alleged S1 had inappropriate interactions with clients. Interviews conducted by Community Care Licensing-Investigations Branch, corroborated this allegation. Interview with S1 revealed the following, S1 admitted to texting C1 and stated, “I made a mistake by giving C1 my phone number, and I shouldn’t have done that.” S1 admitted they knew “it was inappropriate” to scratch C1’s back because S1 knew staff were not allowed to touch clients. S1 admitted it was a mistake to have given C1 money in the past even though C1 did not request the money. Based on interviews and records reviewed, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED.

S1’s conduct is inimical to the health, welfare and safety of all clients in care; therefore, LPA Ramirez will issue one (1) type A deficiency for personal rights violation. Exit interview was conducted. A copy of this report, 9099-D, and appeals rights was provided.

NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/12/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/12/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20241016225924
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: VILLA LUREN
FACILITY NUMBER: 306004456
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/12/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/13/2025
Section Cited
CCR
80072(a)(1)
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80072 Personal Rights
(a) Except for children’s residential facilities, each client shall have personal rights which include, but are not limited to, the following:(1)To be accorded dignity in his/her personal relationships with staff and other persons.
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Licensee will certify plan to address how the facility plan to remain in compliance with 80072(a)(1). Plan must be received by 04/13/2025. Licensee will conduct retraining on this regulation with all staff by 4/20/2025. Proof of retraining must be received by 4/21/2025 via email.
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The licensee did not meet this requirement as evidenced by: Staff S1 sexually abused C1 and had inappropriate interactions with C1, which poses an immediate Health & Safety, or Persons Rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
NAME OF LICENSING PROGRAM MANAGER: Tony Vasallo
NAME OF LICENSING PROGRAM ANALYST: Kimberly Ramirez
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 04/26/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/26/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3