<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374601767
Report Date: 11/29/2022
Date Signed: 11/30/2022 10:28:32 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/02/2022 and conducted by Evaluator Dawn Segura
COMPLAINT CONTROL NUMBER: 08-AS-20220502093839
FACILITY NAME:BROAS GUEST HOMEFACILITY NUMBER:
374601767
ADMINISTRATOR:ALBERTO BROASFACILITY TYPE:
735
ADDRESS:2231 FOWLER DRIVETELEPHONE:
(619) 470-6644
CITY:SAN DIEGOSTATE: CAZIP CODE:
92139
CAPACITY:15CENSUS: 14DATE:
11/29/2022
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Avelina Posadas, AdministratorTIME COMPLETED:
03:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Lack of supervision resulted in client engaging in indecent behavior in the community.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced visit to deliver investigative findings. LPA was granted entry into the facility and met with Avelina Posadas, Administrator, to whom she disclosed the reason for the visit.

Community Care Licensing (CCL) has investigated the above listed complaint allegation. The investigation consisted of a tour of the facility, review of facility records, observations of clients, and interviews of staff.

It was reported to Community Care Licensing that lack of supervision resulted in a client engaging in indecent behavior in the community. It was alleged that a male of Asian descent was observed masturbating in public in the neighborhood in which the facility is located. During the investigation, LPA visited the facility and observed clients who are housed in the home. LPA discovered that, at the time of the alleged incident, there was only one client of Asian descent residing in the home. The client was observed by LPA during a visit to the home. Based upon descriptive information, as provided by the reporting party, the facility client did not
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2022
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 08-AS-20220502093839
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: BROAS GUEST HOME
FACILITY NUMBER: 374601767
VISIT DATE: 11/29/2022
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
26
27
28
29
30
31
32
fit the description of the alleged perpetrator. Additionally, the party who observed the alleged action reported that he/she was not aware of whether the alleged perpetrator was a client of the home, but only assumed that the person resided in the facility.

Considering that the investigation yielded no information to conclude that the alleged perpetrator was a client of the facility or anyone who required supervision by facility staff, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

An exit interview was conducted with Avelina Posadas, and copies of this report and Licensee/Appeal Rights (LIC 9058) were provided to the administrator at the conclusion of the visit. Her signature on this form acknowledges receipt of copies of the rights and this report.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:

DATE: 11/29/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/29/2022
LIC9099 (FAS) - (06/04)
Page: 2 of 2