361800061-3-28-2023-56-AS-MBRN-CQCR76-20230328124550

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 361800061
Report Date: 03/28/2023
Date Signed: 03/28/2023 12:48:09 PM

Document Has Been Signed on 03/28/2023 12:48 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME:	HELPING HEARTS EUCLID		FACILITY NUMBER:	361800061
ADMINISTRATOR:	SMITH, MELLISA		FACILITY TYPE:	772
ADDRESS:	747 NORTH EUCLID AVE		TELEPHONE:	(909) 983-6123
CITY:	ONTARIO	STATE: CA	ZIP CODE:	91762
CAPACITY: 10		CENSUS: 8	DATE:	03/28/2023
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Program Director Valerie Daniels		TIME COMPLETED:	12:55 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 03/28/2023 at 9:05 AM, Licensing Program Analyst (LPA) Melody Brown conducted an unannounced visit to the facility for a case management visit and met with Program Director Valerie Daniels. This case management visit was made regarding an incident that occurred at the facility and the facility submitted Unusual Incident Report (LIC624) to Community Care Licensing Division (CCLD) on 09/06/2022 where Client #1 had allegation of sexual abuse that occurred 08/24/2022. Client #1 was identified on confidential list LIC 811. According to the LIC624 which was reported by the facility, the following took place; Client #1 stated that an incident of sexual abuse had taken place. The individual accused of this incident was unknown as C1 identified accuser as male peer. C1 alleged a male peer sexually assaulted C1 in C1’s bedroom. During this visit, LPA Brown toured the facility, interviewed clients and staffs and reviewed documents. Program Director Daniels reported that Client #1 was transferred to their Aurora facility. LPA Brown contacted C1 via telephone and C1 reported “No male client/peer went to my room and no sexual assault happened. That time I was having a bad dream. No sexual assault happened. It did not happen.” Staff interviews indicated that C1 reported to them that C1 did not know if C1’s hallucinating or not as C1 reported to them that C1 cannot determine if it really happened or not. LPA Brown also reviewed all documentation provided by facility. According to the LIC624 submitted, it would appear that an allegation of sexual abuse occurred at C1’s bedroom. This facility is equipped with cameras throughout the facility. One camera is positioned in the hallway near C1’s bedroom which is the reported location of the incident. This camera gives view of the hallway and clear view of C1’s bedroom door. According to Program Director Daniels, these cameras record for three months consecutively. During the facility's investigation, this footage was reviewed and at no time does it show any male clients coming or going alone to C1’s bedroom on the reported incident date. In addition, facility reported that during their internal investigation, C1 reported that C1 believed that the male who came into C1’s bedroom smelled of alcohol and staffs at the facility conducted room safety checks on all client’s bedrooms and no alcohol found. * Continuation in LIC809C *

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Melody Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
, CA 92507

FACILITY NAME: HELPING HEARTS EUCLID	FACILITY NUMBER: 361800061
	VISIT DATE: 03/28/2023

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Moreover, Program Director Daniels reported that during the internal investigation, C1 reported feeling safe and stated, “I wasn’t going to say anything because I was not sure if it was real or not.” Program Director Daniels added that per their investigation, C1 indicated no physical contact or penetration happened and C1 added that male accused of the incident had a black long shirt. This incident was reported to Adult Protective Services, Public Guardian, Compliance Coordinator, and CCLD. Per documents review, Public Guardian Office arrived at the facility last 08/25/2022 and interviewed C1 and C1 indicated feeling safe in the facility and declined wanting to move to a different facility. No further action was noted.

Based on the evidence provided, interviews conducted, and review of documents, it was determined that this allegation of sexual abuse is found to be UNSUBSTANTIATED. This facility will not be cited during this visit.

An exit interview was conducted, and a copy of this report, LIC809 was discussed and provided to Program Director Valerie Daniels.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Melody Brown
LICENSING EVALUATOR SIGNATURE:	DATE: 03/28/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/28/2023

LIC809 (FAS) - (06/04)

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