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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 312700283
Report Date: 09/04/2024
Date Signed: 09/30/2024 02:25:48 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/18/2024 and conducted by Evaluator Todd Tryon
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20240118120524
FACILITY NAME:HARMONY HOUSEFACILITY NUMBER:
312700283
ADMINISTRATOR:PORTILLO, ERIKAFACILITY TYPE:
735
ADDRESS:11080 B AVENUETELEPHONE:
(530) 886-3470
CITY:AUBURNSTATE: CAZIP CODE:
95603
CAPACITY:20CENSUS: DATE:
09/04/2024
UNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:TIME COMPLETED:
04:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Neglect/Lack of Care and Supervision: resident was sexually assaulted by another resident while in care.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On July 9/4/2024 LPA Tryon visited the facility to deliver the findings of the complaint investigation. LPA met with Kirstin Atkins. The Department has investigated the above allegation.
Video footage from the facility was reviewed, and no evidence was found to support the allegation.
Upon interviewing staff and residents, no witnesses were found who could offer any evidence to support the allegations. It was also found that the alleged victim’s story had changed from when it was first told. The conservator for the alleged victim refused to allow the alleged victim to be interviewed for the alleged victim’s own protection. The public defender for the alleged perpetrator refused to allow the alleged perpetrator to be interviewed due to mental capacity and the fact that the person might incriminate self. The Placer County Sheriff’s Dept. did not investigate the allegation due to the alleged perpetrator’s conservator refusing to allow interview of the alleged perpetrator. Therefore, the allegation is found to be UNSUBSTANTIATED. A finding of unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Appeal Rights provided. Exit interview conducted. [Amended Document]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Todd Tryon
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2024
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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