306004499-8-6-2025-22-AS-MSTC-DNR4ZH-20251124183246

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306004499
Report Date: 08/06/2025
Date Signed: 08/06/2025 01:45:40 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 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
05/22/2025 and conducted by Evaluator Jerome Haley

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20250522144453

FACILITY NAME:	DEL SOL HOME (BUENA PARK)		FACILITY NUMBER:	306004499
ADMINISTRATOR:	ANNAMARIE G. TOMILLOSO		FACILITY TYPE:	735
ADDRESS:	6652 NAOMI AVENUE		TELEPHONE:	(714) 752-6325
CITY:	BUENA PARK	STATE: CA	ZIP CODE:	90620
CAPACITY:	6	CENSUS: 3	DATE:	08/06/2025
		UNANNOUNCED	TIME BEGAN:	01:01 PM
MET WITH:	Annamarie Tomilloso		TIME COMPLETED:	01:29 PM

ALLEGATION(S):

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Staff sexually assaulted resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Jerome Haley made an unannounced visit to the facility to deliver findings on the complaint allegation listed above. LPA was greeted and granted entry by staff after introducing himself and stating the purpose of the visit. The complaint was investigated by the Department and consisted of interviews with facility staff, witnesses, and document review.

Regarding the allegation mentioned above, 4 of 5 individuals denied the allegation. Three of the individuals interviewed claim Client 1 (C1) has a history of making false claims and document review supported the statements about C1 making false allegations. According to Staff 1 (S1), after the allegation was made, all the staff were interviewed including the alleged abuser. Everyone interviewed denied the allegation.

When C1 was asked about the details of the incident C1 says the staff member “hugged” the client’s butt. When asked to explain, C1 did not provide an explanation. When asked when the incident occurred,
Continued on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025

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-20250522144453

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

FACILITY NAME: DEL SOL HOME (BUENA PARK)	FACILITY NUMBER: 306004499
	VISIT DATE: 08/06/2025

NARRATIVE

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C1 could not remember. C1 said no one witnessed the incident and quickly changed the story and claimed staff 3 (S3) was in the room when the incident occurred and didn’t do anything. C1 said they told Staff 2 (S2) about the incident after it occurred. Staff 2 (S2) was present when C1 made that statement, and S2 denied being told about the incident. According to S2, the first time they herad of the incident was when the staff member was being questioned by a Buena Park Police Officer.

Buena Park Police arrived at the facility on May 22, 2025, and spoke with C1. According to a Buena Park Police Officer, C1 had a hard time explaining the details of the incident. Eventually, C1 explained to the Officer, Staff 4 (S4) “hugged their butt” and “pushed it against [their] wiener.”

C1 also told the Police Officer, S4 had on clothes during the incident and C1 did not see S4’s “wiener.”
According to Witness 1 (W1), C1 has lived in a couple different group homes and has a history of making false allegations involving physical, emotional, and verbal abuse against staff at previous homes. W1 believes C1 makes false allegations because C1 does not want to live in a “group home.” W1 said, “it was a matter of time until [C1] made an allegation against a staff member at Del Sol.

According to S1, C1 was admitted to the home on March 25, 2024, against the client’s will by their mother who’s the conservator for C1. S1 explained C1 wants to live with their mother and grandmother so C1 makes up false allegations. S1 says this most recent allegations against S4 was reported to C1’s mother and the mother did not believe the allegations and did not want them to be investigated.

According to Buena Park Police Dispatcher #706, the Officers who responded to the incident on May 22, 2025, determined no crime was committed and found the alleged incident to be unfounded. Buena Park Police Report/incident Report number # 25-16454.

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

An exit interview was conducted, and a copy of this report was provided.

SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Jerome Haley
LICENSING EVALUATOR SIGNATURE:	DATE: 08/06/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/06/2025

LIC9099 (FAS) - (06/04)

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