374602991-1-26-2024-08-AS-JLOT-D224DW-20240131180126

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374602991
Report Date: 01/26/2024
Date Signed: 01/26/2024 04:13:37 PM

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
02/06/2023 and conducted by Evaluator Rebecca A Ruiz

COMPLAINT CONTROL NUMBER: 08-AS-20230206090409

FACILITY NAME:	VERDUGO BOARDING HOME		FACILITY NUMBER:	374602991
ADMINISTRATOR:	JACOME, RIGOBERTO GARCIA		FACILITY TYPE:	740
ADDRESS:	690 HELEN DRIVE		TELEPHONE:	(760) 757-8403
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92057
CAPACITY:	6	CENSUS: 4	DATE:	01/26/2024
		UNANNOUNCED	TIME BEGAN:	04:00 PM
MET WITH:	Licensee Rigoberto Garcia		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Lack of supervision resulting in sexual abuse

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced complaint visit to deliver findings regarding the above-mentioned allegation. LPA identified herself to, was greeted by, and explained the purpose of the visit to Licensee Rigoberto Garcia.

The Department’s investigation consisted of interviews with residents, staff, and outside sources, records review, and a tour of the facility. It was alleged that lack of supervision resulted in the sexual abuse of Resident 1 (R1), specifically that Resident 2 (R2) had engaged in sexual misconduct with R1. Interviews with staff and review of R1’s and R2’s physician reports revealed that R1 and R2 had major cognitive impairments. It was determined that an outside agency conducted an investigation regarding the allegation which did not determine that the allegation was factual. When interviewed by the outside agency, R1 stated that R2 had engaged in sexual misconduct that day. Interviews with outside sources revealed that the sexual misconduct R1 described in that interview had not occurred.
Continued on LIC9099-C page...

Unsubstantiated

Estimated Days of Completion: 0

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Rebecca A Ruiz	TELEPHONE: (619) 318-7620
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024

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 08-AS-20230206090409

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: VERDUGO BOARDING HOME	FACILITY NUMBER: 374602991
	VISIT DATE: 01/26/2024

NARRATIVE

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Interviews with staff and a tour of the facility determined that R2 had a room next to R1. Interviews with staff revealed that all residents at the facility had major cognitive impairments and had occasional behaviors of undressing and exiting their rooms. Staff denied that any of the undressing behaviors were done with a malicious intent. R2 would occasionally disrobe in their room in preparation for a shower. Staff indicated that R2 was a friendly individual and would attempt to say hello to R1 by waving their hand, which R1 would angrily react to. R1 was described by staff to be easily agitated by interactions with other residents. Ongoing negative interactions between the two residents were due to their cognitive impairment, however, no form of sexual abuse or misconduct could be verified. Interviews with staff did not support the allegation that R2 engaged in any sexual misconduct with R1 or any other residents.

The Department has investigated the above-mentioned allegation and based on interviews and records review, the preponderance of the evidence has not been met, therefore, this allegation is deemed unsubstantiated.

An exit interview was conducted with Licensee Rigoberto Garcia, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 01/16).

SUPERVISOR'S NAME: Lizzette Tellez	TELEPHONE: (619) 767-2351
LICENSING EVALUATOR NAME: Rebecca A Ruiz	TELEPHONE: (619) 318-7620
LICENSING EVALUATOR SIGNATURE:	DATE: 01/26/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/26/2024

LIC9099 (FAS) - (06/04)

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