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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604207
Report Date: 02/20/2024
Date Signed: 02/20/2024 12:09:00 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
04/18/2022 and conducted by Evaluator Dawn Segura
COMPLAINT CONTROL NUMBER: 08-AS-20220418113657
FACILITY NAME:LIBERTY HARMONYFACILITY NUMBER:
374604207
ADMINISTRATOR:BAILEY, BRANDYFACILITY TYPE:
737
ADDRESS:2915 DUCK POND LANETELEPHONE:
(760) 975-7176
CITY:RAMONASTATE: CAZIP CODE:
92065
CAPACITY:4CENSUS: 4DATE:
02/20/2024
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Cruz Mora, Assistant Program AdministratorTIME COMPLETED:
12:15 PM
ALLEGATION(S):
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Facility staff sexually abused client.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Dawn Segura conducted an unannounced visit to deliver investigative findings. LPA introduced herself, was granted entry into the facility, and met with Cruz Mora, Assistant Program Administrator, to whom she disclosed the reason for the visit.

It was reported to Community Care Licensing (CCL) that, approximately a week before the incident was reported, while Staff 1 (S1) was working the nocturnal shift, S1 placed his/her hand over Client 1’s (C1) mouth while touching C1 inappropriately and having C1 to perform oral sex on him/her.

CCL has investigated the above-listed complaint allegation. The investigation consisted of a tour of the facility, review of records maintained at the facility, and interviews of staff and outside sources.

Interviews conducted and records reviewed yielded that C1 has a history of making false allegations and a long-documented history of falsely accusing staff/peers of raping or otherwise sexually abusing him/her.
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2024
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 08-AS-20220418113657
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: LIBERTY HARMONY
FACILITY NUMBER: 374604207
VISIT DATE: 02/20/2024
NARRATIVE
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C1 declined to be interviewed by CCL; however, several staff interviews and documented notes maintained in facility records revealed that C1 acknowledged that the allegation was false, retracted the allegation, and apologized to S1 for intentionally taking measures to get S1 in trouble. Additionally, facility records reviewed during the investigation reflected that, at the time the alleged incident reportedly occurred, S1 did not work any nocturnal shifts in the facility during that week or month.

Interviews and records reviewed indicate that C1 is able to vocally express wants and needs and was aware of the negative consequences that could result from making such an allegation at the time of making the allegation and when retracting the allegation. No evidence was obtained during the investigation to suggest, indicate, or conclude that the alleged events ever occurred.

Based upon a lack of evidence to corroborate the allegation, the allegation is unsubstantiated. This finding means that there is not a preponderance of evidence to prove that the alleged violation occurred.

An exit interview was conducted with Cruz Mora, and copies of this report and Licensee/Appeal Rights (LIC 9058) were provided to the Assistant Program Administrator at the conclusion of the visit. His signature below serves as acknowledgment of receipt of copies of the report and rights.
SUPERVISORS NAME: Lizzette Tellez
LICENSING EVALUATOR NAME: Dawn Segura
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2