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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603533
Report Date: 07/24/2024
Date Signed: 07/24/2024 03:19:47 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
04/12/2024 and conducted by Evaluator Tiffany Holmes
COMPLAINT CONTROL NUMBER: 08-AS-20240412111755
FACILITY NAME:WORK SKILL RESOURCESFACILITY NUMBER:
374603533
ADMINISTRATOR:ENUNWA, EBELEFACILITY TYPE:
775
ADDRESS:9349 JAMACHA BLVDTELEPHONE:
(619) 512-1107
CITY:SPRING VALLEYSTATE: CAZIP CODE:
91977
CAPACITY:60CENSUS: 51DATE:
07/24/2024
UNANNOUNCEDTIME BEGAN:
01:16 PM
MET WITH:Tracy Mcknight, AdministratorTIME COMPLETED:
01:45 PM
ALLEGATION(S):
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Staff had sexual relationships with a client
Licensee did not follow reporting requirements
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit to deliver investigative findings on the above listed complaint allegations. LPA met with Tracy Mcknight, Administrator to whom was informed of the purpose for the visit.

The Department’s investigation consisted of staff, client and outside source interviews and included a facility tour.

It was alleged that a staff had a sexual relationships with a client. Interviews revealed on or around 02/08/2024 that an outside source reported that Staff 1 (S1) was having a sexual relationship with Client 1 (C1). Interviews revealed that S1 was calling C1 on their phone and was meeting C1 outside of the day program. Interviews revealed that C1s Responisble Party (RP) provided S1 a restraining order that S1 refused to follow. Interviews revealed that C1 was speaking to S1 while they were out in the community, while they were at their RPs home and at their home/facility. Interviews revealed that when C1s RP blocked S1 from calling, C1 used their roommates phone to make and accept calls from S1. A review of medical records reveal that C1 has a diagnosis of Autsim, Aspergers Syndrome and Bi Polar and Anxiety Disorder. Interview with C1 revealed that the sexual relationship with S1 became apparent during the month of Feburary 2024 and admitted to having an intimate relationship with S1 while S1 was employed at the facility and it continued after S1 was terminated. According to C1, sexual encounters with S1 happened outside of the facility. Interviews with C1 revealed they did understand how someone could look at this relationship as not being appropriate.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024
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 3
Control Number 08-AS-20240412111755
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: WORK SKILL RESOURCES
FACILITY NUMBER: 374603533
VISIT DATE: 07/24/2024
NARRATIVE
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At the time C1 was interviewed C1 admitted that their RP explained to them the harm of the relationship and that they have called it off with S1. C1 admitted the relationship was consensual. (S1s) employment was terminated on February 12, 2024 due to the facility conducting their own investigation. Interviews with staff revealed the intimate relationship between C1 and S1 was not known until the report came in regarding the relationship. Interviews with management denied they knew of any relationship between S1 and C1.

It was alleged that the licensee did not follow reporting requirements. Upon a record review, it was observed that Work Skill staff did not report the incident. Community Care Licensing (CCL) found out about the incident from an outside source that reported it to CCL first. After the report came in the complaint was initiated and interviews revealed they did not report the incident because they claim it did not happen at the facility. Interviews revealed that once they found out about the incident they conducted their own investigation but still did not report the incident to CCL.

Based on interviews the above allegations are substantiated. A substantiated finding means the allegations are valid because the preponderance of the evidence standard has been met.

A deficiency is cited per Title 22 California Code of Regulation. LPA Holmes conducted an exit interview with Mcnight, to whom a copy of this report, the LIC 9099-D, and the Licensee/Appeal Rights (LIC 9058 03/22) were provided. Signature below confirms receipt of the reports.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 08-AS-20240412111755
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: WORK SKILL RESOURCES
FACILITY NUMBER: 374603533
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/24/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
08/09/2024
Section Cited
CCR
82072(a)(1)
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82072 Personal Rights
(a) Each client shall have personal rights which include, but are not limited to, the following:
(1) To be accorded dignity in his/her personal relationships with staff and other persons.This requirement was not met as evidenced by:
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Director will complete a training with an outside source for all staff on Personal Rights & Sexual Harrassment due on 08/09/24 and submit proof of training, sign in sheet and material to CCL by POC date of 08/09/2024.

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Based on interviews and observations, S1 had a sexual relationship with C1. This posed an immediate health, safety and personal rights risk to 1 of 51 (C1) persons in care.
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Type B
08/09/2024
Section Cited
CCR
82061(a)(1)(D)
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Reporting Requirements (a)Upon the occurrence, during the hours the day program is providing services to the client, ..., a report shall be made to the licensing agency within the agency's next working day... In addition, a written report ... shall be submitted to the licensing agency within seven days... (D) Any unusual incident ... the physical or emotional health or safety of any client; The requirement was not met as evidence by:
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Director will complete a training with an outside source for all staff on Reporting requirements and submit proof of training, sign in sheet and material to CCL by POC date of 08/09/2024
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Based on Licensee's own admission, an incident report regarding the relationship between S1 and C1 was reported to them although a report was not reported to CCL by Day program. This posed a potential health, safety and personal rights risk to 1 of 51 (C1) persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/24/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2024
LIC9099 (FAS) - (06/04)
Page: 3 of 3