342700907-1-16-2024-27-AS-LRIS-CZUUES-20240126143135

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700907
Report Date: 01/16/2024
Date Signed: 01/16/2024 10:03:47 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
10/09/2023 and conducted by Evaluator Christina Valerio

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20231009123731

FACILITY NAME:	HOPEFUL TOMORROW HOMES, LLC		FACILITY NUMBER:	342700907
ADMINISTRATOR:	ANDRADA, MONALYN		FACILITY TYPE:	737
ADDRESS:	12857 CHEROKEE LANE		TELEPHONE:	(916) 890-4282
CITY:	GALT	STATE: CA	ZIP CODE:	95632
CAPACITY:	4	CENSUS: 3	DATE:	01/16/2024
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Monalyn Andrada		TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Facility staff did not provide care and supervision to residents in care resulting in a resident engaging sexually with another resident

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Christina Valerio arrived to the facility unannounced to deliver complaint investigation findings. LPA met with Administrator Monalyn Andrada, and explained the purpose of the visit.

The Department has determined the following as it relates to the following allegation: Due to Neglect/Lack of Supervision, staff failed to prevent Resident 1 (R1) from engaging sexually with Resident 2 (R1). The investigation consisted of interviews with staff, interviews with residents, interviews with outside agencies, records review of facility records, and records review of outside agency records.

Staff interviews revealed that R1 reported R2 entering R1's bedroom and "jacked off" on R1. An interview with R1's family member revealed similar reports from R1. During an initial interview with R1, R1 did not make a disclosure. A follow-up interview with R1, R1 stated "I'm sorry I said that." and "I shouldn't have said that but I moved on."
Continues on LIC 9099 - C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024

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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Control Number 27-AS-20231009123731

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: HOPEFUL TOMORROW HOMES, LLC	FACILITY NUMBER: 342700907
	VISIT DATE: 01/16/2024

NARRATIVE

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...Continued from LIC 9099

According to interviews with six staff members, staff denied observing R2 entering R1's room. According to staff interviews, staff are constantly with residents or have eyes on the residents. The only time staff are not with a resident is when the resident is in the shower or request privacy in their room. While residents are in the shower or in the bedroom, staff will outside the door. One interview with staff revealed that there were a few times when the hallway was left unsupervised for up to 15 minutes. However, there is no indication of when the event occurred to determine that there was no staff supervision at the time of the incident. Depending on the resident, staff to resident ratio varies. Based on an outside agency interview/personal observation, the outside agency felt the level of staff supervision was appropriate.

An Investigation conducted by the Long Term Care Ombudsman determined it was not a criminal matter. Records review obtained from The Sacramento County Sheriff Office did not pure the complaint and closed the case.

Due to the above noted information, although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, and therefore the allegations are unsubstantiated.

Per California Code of Regulations (CCRs) - Title 22, no deficiencies cited.

An exit interview was held, and a copy of report was left at the facility.

SUPERVISORS NAME: Stephen Richardson
LICENSING EVALUATOR NAME: Christina Valerio
LICENSING EVALUATOR SIGNATURE:	DATE: 01/16/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/16/2024

LIC9099 (FAS) - (06/04)

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