374603642-8-22-2023-08-AS-SJAB-CV6PCB-20230829111139

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603642
Report Date: 08/15/2023
Date Signed: 08/22/2023 09:41:38 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
01/17/2023 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20230117153822

FACILITY NAME:	LOL - LIFE OF LIBERTY, LLC		FACILITY NUMBER:	374603642
ADMINISTRATOR:	MUNOZ, CLAUDIA		FACILITY TYPE:	775
ADDRESS:	320 N. HORNE STREET		TELEPHONE:	(760) 433-5411
CITY:	OCEANSIDE	STATE: CA	ZIP CODE:	92054
CAPACITY:	100	CENSUS: 81	DATE:	08/15/2023
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Program Director Claudia Munoz		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility staff made sexually inappropriate comments to clients in care.
Lack of supervision resulted in client making sexually inappropriate comments to client in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to deliver findings regarding the above listed complaint allegations. LPA identified herself to Program Director Claudia Munoz to whom was explained the purpose of the visit.

The Department’s investigation consisted of staff, client, and outside source interviews, and client and facility records reviews.

It was alleged that on October 12, 2022 facility Staff 1 (S1) made sexually inappropriate comments to Client 1 (C1) while in transport to the facility. Interviews conducted with Client 2 (C2) and Client 3 (C3) corroborated the allegation. An additional interview with Client 4 (C4) revealed never having witnessed inappropriate behavior made by S1, and S1 had never made them feel uncomfortable. An interview with an Outside Source1 (OS1) revealed C2 has a history of behaviors that involve making similar type inappropriate comments that was being addressed in their service plan.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023

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-20230117153822

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: LOL - LIFE OF LIBERTY, LLC	FACILITY NUMBER: 374603642
	VISIT DATE: 08/15/2023

NARRATIVE

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An interview with facility Staff 2 (S2) revealed S1 immediately reported the incident to S2. S1 revealed the inappropriate dialogue was between C1 and C2, and S1 did their best to redirect them.

An Interview with an outside source revealed C1 has been interviewed several times since the incident occurred, as C1 has a history of making false allegations, however C1 has remained adamant and consistent with the details of the accusation under question. During an interview with C1, C1 provided LPA names of additional clients that were present during the incident, however S2 revealed there were no individuals that attended the program by the names provided. A facility records review corroborated there were no clients with the names C1 provided that attended the Day Program. Additionally, due to an unrelated/personal situation S1 is no longer working for the agency and was unavailable to be interviewed.

Due to a lack of corroborating evidence the above mentioned allegations were determined to be unsubstantiated. An unsubstantiated finding means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted, and a copy of this report and Licensee’s Rights (9058 01/16) were provided to the Program Director Munoz and signature below confirms receipt of the report.

SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Debbie Correia
LICENSING EVALUATOR SIGNATURE:	DATE: 08/15/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/15/2023

LIC9099 (FAS) - (06/04)

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