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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366400103
Report Date: 07/19/2024
Date Signed: 07/19/2024 10:51:24 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/21/2024 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240621094449
FACILITY NAME:ANTHESIS ADULT DEVELOPMENT CENTERFACILITY NUMBER:
366400103
ADMINISTRATOR:LUCY YAMAS-CORTEZFACILITY TYPE:
775
ADDRESS:10550 RAMONA SUITE A & BTELEPHONE:
(909) 399-0617
CITY:MONTCLAIRSTATE: CAZIP CODE:
91763
CAPACITY:72CENSUS: 55DATE:
07/19/2024
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Lucy Jimenez- ADC Program ManagerTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff inappropriately touched client.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Program Manager Lucy Jimenez and explained the purpose of the visit regarding the allegation stated above.

First Allegation: Staff inappropriately touched client.

Regarding the first allegation, staff inappropriately touched client, while reviewing investigative findings LPA observed that an interview with Client #1 was initiated by Investigator E. Hill on 7/24/2024. LPA observed that throughout the interview Investigator Hill, discussed the sexual abuse allegation with C#1, during the interview client denied being inappropriately touched by staff at Day Program and made reference as to not knowing why client made the allegation towards Day Program. Based on corroborating evidence obtained during the course of the investigation, LPA has determined that the above allegation is Unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2024
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 2
Control Number 56-AS-20240621094449
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: ANTHESIS ADULT DEVELOPMENT CENTER
FACILITY NUMBER: 366400103
VISIT DATE: 07/19/2024
NARRATIVE
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32
Unsubstantiated; meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Program Manager Lucy Jimenez.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/19/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2